Melissa Zetouna, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601004426 Issued in MI

Practice address

18 Market St
Suite C
Mount Clemens, MI 48043-7403

Phone

(586) 783-2222

Fax

(586) 783-6280

NPI assigned

Sep 14, 2005

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Services Associates PCGroup PAC ID 4385557602, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Anesthesia Services Associates, PC

  • Anesthesiology Physician
  • Lapeer, MI
  • NPI 1497797153
  Medicare reassignment Care Compare group
• CBM Health Care Inc

  • Primary Care Clinic/Center
  • Fenton, MI
  • NPI 1124323597
  NPD (past)

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

• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1801881909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31313 NORTHWESTERN HWY",
            "address_2": "STE 203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342577",
            "telephone_number": "248-880-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARKET ST",
            "address_2": "SUITE C",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437403",
            "telephone_number": "586-783-2222",
            "fax_number": "586-783-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETOUNA",
        "first_name": "MELISSA",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Furqaan Ahmed Zakir, MD
• Jennifer L Zaliwski, LMSW
• Javier Zarate
• Eileen Faye Zelenak, PT
• James F Zender, PHD
• Michael Karl Zickler, DO
• Eric L Zimmerman, DO
• Geraldine C Zimmerman
• Ashlea Nicole Zohr

• Medical Physician Assistant in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.