Kailey Evasic, PA
Kailey Evasic, PA is a Physician Assistant in New Hudson, Michigan. Qualified in 2022, 4 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 4
- Licensed in
- MI
- In the registry since
- 2022
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
55840 Grand River Ave Ste 300New Hudson, MI 48165-9717
Phone: (248) 264-6169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 5601011330 (MI) |
|---|
Record details
| NPI number | 1649987488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | November 1, 2022 |
| Last updated in NPPES | November 1, 2022 |
| Certification date | November 1, 2022 |
| Mailing address | 859 Westbrooke Dr, South Lyon, MI 48178-1667 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Henry Ford Health Providence Hospital — 350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |