Robin L Batchelor, PA-C

Individual provider Active NPI Physician Assistant · Indian River, MI

NPI 1609800119 · NPPES record last updated Dec 6, 2012

Key facts

NPI
1609800119
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601001014 (MI)
Practice address
6135 Cressy St
Indian River, MI 49749
Phone
(231) 238-8908
Fax
(231) 238-4419
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601001014MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Physician Assistant Past Accepting new patients
Community Memorial Hospital Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601001014 MI Yes

Addresses

Primary practice location

6135 Cressy St
Indian River, MI 49749

Mailing address

PO Box 419
Cheboygan, MI 49721-0419
Phone (231) 627-1438

Other providers in Indian River, MI

All providers in Indian River, MI · Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.