Alicia Scopis, PHYSICIAN ASSISTANT

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5601009699 Issued in MI

Practice address

50505 Schoenherr Rd Ste 325
Shelby Township, MI 48315-3142

Phone

(586) 580-1001

NPI assigned

Jun 18, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Western Michigan Un Homer Stryker School of Med, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berry Dermatology PCGroup PAC ID 2466693387, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Berry Dermatology, P.C.

  dba Dermatology Specialists of Shelby

  • Dermatology Physician
  • Shelby Township, MI
  • NPI 1326386517
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1477179174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 325",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 325",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153142",
            "telephone_number": "586-580-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOPIS",
        "first_name": "ALICIA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5601009699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M. Schultz-Price, L.P.C.
• Dennis J Schumaker, RPH
• Angela Schuster
• Dena Marie Schwartz, LMSW
• Brian Anthony Scolari, D.C.
• Scott C. Crader M.D. P. C.
• Scriptures Home Care
• Secure Mobility, L.L.C.
• Brittany Marie Seguin
• Courtney Selby

• Dermatology Physician in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.