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

Jeremy Petzold, PA

Individual provider Physician Assistant · NPI 1962090845

Jeremy Petzold, PA is a Physician Assistant in Saginaw, Michigan. Qualified in 2020, 6 years ago. Practices with Covenant Medical Center, Inc, a 489-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3875 Bay Rd Ste 2S
Saginaw, MI 48603-2423
Phone: (989) 583-5370
Fax: (989) 583-1872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2726 N Saginaw Rd, Midland, MI 48640-2633 — (989) 583-5370

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010356 (MI)

Record details

NPI number1962090845
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2021
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Covenant Medical Center, Inc. — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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