Ann Pattock, PA-C

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5601008878 Issued in MI

Practice address

5333 McAuley Dr RM 2009
Ypsilanti, MI 48197-1095

Phone

(734) 712-0077

Fax

(734) 712-0088

NPI assigned

Jan 8, 2019

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• St Joseph Mercy Hospital

  • Otolaryngology Physician
  • Ypsilanti, MI
  • NPI 1659499705
  Medicare reassignment
• St Joseph Mercy Hospital

  • Internal Medicine Physician
  • Ypsilanti, MI
  • NPI 1649399197
  NPD
• St Joseph Mercy Hospital

  • Cardiac Rehabilitation Clinic/Center
  • Ypsilanti, MI
  • NPI 1902359094
  NPD

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1790258200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 2009",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971095",
            "telephone_number": "734-712-0077",
            "fax_number": "734-712-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 2009",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971095",
            "telephone_number": "734-712-0077",
            "fax_number": "734-712-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTOCK",
        "first_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5601008878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Patin, CNP
• Patricia Milner Psychiatry, PLLC
• Lindsey Patrick, LLBSW
• Brooklyn Jade Patterson
• Jonathan Patterson Jr.
• William F Patton, M.D.
• Frederick Payne
• Kelsay Payton, PA
• Lauren Whitney Peace
• Kevin Tyler Peake, RN

• Physical Medicine & Rehabilitation Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.