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

MS. Mary Kathryn Douglas, PAC

Individual provider Medical Physician Assistant · NPI 1114928637

MS. Mary Kathryn Douglas, PAC is a Physician Assistant in Traverse City, Michigan. Qualified in 2002, 24 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3074 N US 31 S
Traverse City, MI 49684-4533
Phone: (231) 929-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1105 Sixth St, Traverse City, MI 49684-2345 — (231) 935-5000
  • 550 Munson Ave, Traverse City, MI 49686-3580 — (231) 935-8686

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MD003850 (MI)

Record details

NPI number1114928637
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Traverse City