Angela Fay Asa, PHYSICIAN ASSISTANT

Individual provider Active NPI Physician Assistant · Auburn, MI

NPI 1992955264 · NPPES record last updated Aug 23, 2023

Key facts

NPI
1992955264
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601005347 (MI)
Practice address
939 W Midland Rd
Auburn, MI 48611-9420
Phone
(989) 662-2740
Fax
(989) 662-2745
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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 7

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center Midland (507 clinicians)

Practice addresses (Care Compare)

4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250

939 W Midland Rd
Mymichigan Family Medicine
Auburn, MI 48611-9420
Phone (989) 662-2740

Hospital & facility affiliations

  • Mymichigan Home Care Home health agency · Midland, MI · CCN 237015
  • Mymichigan Medical Center Midland Hospital · Midland, MI · CCN 230222
  • Mymichigan Medical Center Saginaw Hospital · Saginaw, MI · CCN 230077
  • McLaren Bay Region Hospital · Bay City, MI · CCN 230041
  • Mymichigan Medical Center Clare Hospital · Clare, MI · CCN 230180

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 IDStateProvider typePAC IDDetails
I20120727000784 MI Practitioner - Physician Assistant 2567628076 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005347MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland Current
since Sep 9, 2023
Accepting new patients
Mymichigan Medical Center Midland Current
since Sep 9, 2023
Accepting new patients
Covenant Medical Center, Inc Current
since May 7, 2013
Accepting new patients
Cornell Health and Wellness Physician Assistant Past Accepting new patients

Locations

1910 Pine Ave
Alma, MI 48801
Phone (989) 463-3101

939 W Midland Rd
Auburn, MI 48611
Phone (989) 662-2740

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

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

Interoperability endpoints

  • Direct secure messaging: aasa@sagchip.directbygreenway.com
  • Direct secure messaging: aasa59570@mymichiganhealth.midirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005347 MI Yes

Addresses

Primary practice location

939 W Midland Rd
Auburn, MI 48611-9420

Mailing address

4000 Wellness Dr
Midland, MI 48670-9420
Phone (989) 400-3652

Other providers in Auburn, MI

All providers in Auburn, MI · Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.