Individual provider Active NPI

Monique Chagnon-Bicego, PA

  • Physician Assistant
  • Troy, MI
National Provider Identifier
1861468787
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003595 Issued in MI
Practice address
44201 Dequindre Rd
William Beaumont Hospital
Troy, MI 48085-6122
Phone
(248) 853-3100
Fax
(248) 853-4300
NPI assigned
Feb 28, 2006
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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 5601003595 MI Primary

Addresses

Primary practice location

44201 Dequindre Rd
William Beaumont Hospital
Troy, MI 48085-6122

Mailing address

44201 Dequindre Rd
William Beaumont Hospital
Troy, MI 48085-6122

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbicego11691@direct.beaumont.edu

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
I20110128001025 MI Practitioner - Physician Assistant 7012196561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601003595MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals, P.C. CurrentSince Oct 1, 2017 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Oct 1, 2018 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Oct 1, 2017 Accepting new patients
Michigan Healthcare Professionals PC Past Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073

44199 Dequindre Rd
Ste 609
Troy, MI 48085
Phone (248) 687-7300

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

4967 Crooks Rd
Ste 210
Troy, MI 48098
Phone (248) 687-7300

Interoperability endpoints

  • Direct secure messaging: mbicego11691@direct.beaumont.edu
  • Direct secure messaging: mbicego1457622@epic00.shdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1861468787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "address_2": "WILLIAM BEAUMONT HOSPITAL",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "address_2": "WILLIAM BEAUMONT HOSPITAL",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856122",
            "telephone_number": "248-853-3100",
            "fax_number": "248-853-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGNON-BICEGO",
        "first_name": "MONIQUE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbicego11691@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "44201 Dequindre Rd",
            "address_2": "William Beaumont Hospital",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480856122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.