Individual provider Active NPI

Dennis Michael Marien, PA

  • Physician Assistant
  • Grand Blanc, MI
National Provider Identifier
1710029079
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004895 Issued in MI
Practice address
5445 Ali Dr Dept 320
Grand Blanc, MI 48439-5193
Phone
(810) 428-1181
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004895 MI Primary

Addresses

Primary practice location

5445 Ali Dr Dept 320
Grand Blanc, MI 48439-5193

Mailing address

5445 Ali Dr Dept 320
Grand Blanc, MI 48439-5193
Phone (810) 428-1181

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070327000699 MI Practitioner - Physician Assistant 8224132493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognosis Health HillsideGroup PAC ID 5890158901, 15 clinicians

Practice addresses (Care Compare)

10761 S Saginaw St
Suite D
Grand Blanc, MI 48439-8168
Phone (810) 428-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesys Practice Partners, Inc. Past Accepting new patients
Northeast Michigan Community Mental Health Authority Past Accepting new patients
Cognosis Health PastSince Jul 7, 2024 Accepting new patients
Seniors Wellness Group of Michigan, P.C. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1710029079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 ALI DR DEPT 320",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395193",
            "telephone_number": "810-428-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 ALI DR DEPT 320",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395193",
            "telephone_number": "810-428-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIEN",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.