Alyssa Caramagno
Individual provider Active NPI Physician Assistant · Fraser, MI
NPI 1902157472 · NPPES record last updated Jun 14, 2024
Key facts
- NPI
- 1902157472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601006502 (MI)
- Practice address
- 17717 Masonic
Fraser, MI 48026-3158 - Phone
- (586) 294-0600
- Fax
- (586) 294-2525
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pure Psychiatry of Michigan PLLC
Practice addresses (Care Compare)
34841 Veterans PLZ
Wayne, MI 48184-1733
Phone (313) 292-7640
39600 Garfield Rd
Suite F
Clinton Township, MI 48038-5913
Phone (586) 307-6566
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121130000426 | MI | Practitioner - Physician Assistant | 9830341676 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- acaramagno1120133@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 5601006502 | MI | Yes |
Addresses
Primary practice location
17717 Masonic
Fraser, MI 48026-3158
Mailing address
17717 Masonic
Fraser, MI 48026-3158
Phone (586) 294-0600
Other providers in Fraser, MI
- Matthew Brown
- Leonard Bunting
- Linda M Butala
- Ursula Calin
- Tanya Callands
- Tammy Cardona
- Care of Southeastern Michigan
- Caring for Neighbors Home Care Agency
- Caring for Neighbors Home Care Agency
- James G Cawthorne
All providers in Fraser, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.