Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassidy Ebach

Individual provider Physician Assistant · NPI 1649949082

Cassidy Ebach is a Physician Assistant in Livonia, Michigan. Qualified in 2021, 5 years ago. Practices with Mendelson Orthopedics PC, a 70-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

36622 Five Mile Rd
Livonia, MI 48154-1900
Phone: (734) 266-3349
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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 5601010644 (MI)

Record details

NPI number1649949082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing address22510 Moorgate St, Novi, MI 48374-3769

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mendelson Orthopedics Pc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Livonia