Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anna Declercq, PA-C

Individual provider Physician Assistant · NPI 1467165266

Anna Declercq, PA-C is a Physician Assistant in Toledo, Ohio. Qualified in 2023, 3 years ago. Practices with Promedica Monroe Physicians, a 64-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3000 Arlington Ave # MS 1027
Toledo, OH 43614-2595
Phone: (419) 530-5408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012284 (MI)

Record details

NPI number1467165266
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 27, 2022
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address3000 Arlington Ave, Toledo, OH 43614-2595

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Promedica Monroe Physicians — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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