Individual provider Active NPI

Maegan S Klawinski, PA-C

  • Physician Assistant
  • Bay City, MI
National Provider Identifier
1730460767
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006129 Issued in MI
Practice address
2919 Wilder Rd Ste 220
Bay City, MI 48706-9602
Phone
(998) 986-7195
NPI assigned
Sep 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 5601006129 MI Primary

Addresses

Primary practice location

2919 Wilder Rd Ste 220
Bay City, MI 48706-9602

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (998) 671-5855

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
I20120124000563 MI Practitioner - Physician Assistant 6002083565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Sleep and Neurology PCGroup PAC ID 3274983515, 3 clinicians

Practice addresses (Care Compare)

2172 Hemmeter Rd
Saginaw, MI 48603-3953
Phone (989) 272-8576

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601006129MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince Oct 1, 2019 Accepting new patients
Tri City Urology Associates PC Past Accepting new patients
Renewal Christian Counseling Inc PastSince Mar 20, 2017 Accepting new patients

Locations

2919 Wilder Rd
Ste 220
Bay City, MI 48706
Phone (989) 671-5855

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

4700 McLeod Dr E
Ste D
Saginaw, MI 48604
Phone (989) 272-0540

Interoperability endpoints

  • Direct secure messaging: mklawinski16679@direct.covenanthealthcare.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1730460767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "998-671-5855",
            "fax_number": "998-986-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 WILDER RD STE 220",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069602",
            "telephone_number": "998-986-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAWINSKI",
        "first_name": "MAEGAN",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-04",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.