Amy G Connolly, PA-C - Medicare Physician Assistant in Detroit, MI

Amy G Connolly, PA-C is a medicare enrolled "Physician Assistant" in Detroit, Michigan. Her current practice location is 20400 W Warren Ave, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 271-0500.

Amy G Connolly is licensed to practice in Michigan (license number 5601002695) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033106331.

Contact Information

Amy G Connolly, PA-C
20400 W Warren Ave,
Detroit, MI 48228-3242
(313) 271-0500
(313) 271-9313



Provider's Profile

Full NameAmy G Connolly
GenderFemale
SpecialityPhysician Assistant
Location20400 W Warren Ave, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033106331
  • Provider Enumeration Date: 10/01/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2668467879
  • Enrollment ID: I20040417000051

Medical Identifiers

Medical identifiers for Amy G Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033106331NPI-NPPES
P00191570OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601002695 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy G Connolly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amy G Connolly, PA-C
7348 Rafford Ln,
West Bloomfield, MI 48322-3190

Ph: (248) 592-0733
Amy G Connolly, PA-C
20400 W Warren Ave,
Detroit, MI 48228-3242

Ph: (313) 271-0500

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Phone: 313-921-5881    

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