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NPI Code Detail

MEDICARE: MEGAN B HAYES PA-C

MEDICARE: MEGAN B HAYES PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601005027MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N33870008OTHERMIMEDICARE

General Provider Information

NPI Number : 1578764775
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN B HAYES PA-C
Provider Business Mailing Address
First Line : 601 W SAVIDGE ST
Second Line :
City : SPRING LAKE
State : MI
Zip : 49456-1620
Country : US
Telephone Number : 231-672-3100
Fax Number : 231-672-3102
Provider Business Practice Location Address
First Line : 601 W SAVIDGE ST
Second Line :
City : SPRING LAKE
State : MI
Zip : 49456-1620
Country : US
Telephone Number : 231-672-3100
Fax Number : 231-672-3102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 05/22/2023

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Directions to “ MEGAN B HAYES PA-C” Practice Location

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