Kaitlyn Esther Bishop, D.O.
Individual provider Active NPI Emergency Medicine Physician · Saginaw, MI
NPI 1346685237 · NPPES record last updated Mar 26, 2021
Key facts
- NPI
- 1346685237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 5101020331 (MI)
- Practice address
- 900 Cooper Ave
Saginaw, MI 48602-5182 - Phone
- (989) 583-4114
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Center, Inc.
Practice addresses (Care Compare)
900 Cooper Ave
Saginaw, MI 48602-5182
Phone (989) 583-6521
Hospital & facility affiliations
- Covenant Medical Center
- Scheurer Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170614001926 | MI | Practitioner - Emergency Medicine | 0446571285 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scheurer Hospital | Current |
Accepting new patients | |
| Sparrow Clinton Hospital | Emergency Medicine | Current |
Accepting new patients |
| Covenant Medical Center, Inc | Current |
Accepting new patients | |
| Scheurer Hospital | Emergency Medicine | Current |
Accepting new patients |
| Scheurer Hospital | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current |
Accepting new patients | |
| Covenant Medical Center, Inc. | Emergency Medicine | Current |
Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301
170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
Interoperability endpoints
- kmatz49605@direct.covenanthealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101020331 | MI | Yes |
Addresses
Primary practice location
900 Cooper Ave
Saginaw, MI 48602-5182
Mailing address
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (616) 446-3401
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmatz49605@direct.covenanthealthcare.com |
Other providers in Saginaw, MI
- Rose Ann Birkmeier
- Kaylee Birtch
- Megan Bischer
- Mirjon Bishja
- Barbara Jo Bishop
- Sarah Bishop
- Stacy Heather Bishop
- Sydney Klein Bishop
- Kimberly Biskup
- Scott Biskup
All providers in Saginaw, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.