Mary Therese Porta, PA-C
Mary Therese Porta, PA-C is a Physician Assistant in Troy, Michigan. Qualified in 2008, 18 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 18
- Licensed in
- MI
- In the registry since
- 2008
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
44201 Dequindre Rd Ste ECTroy, MI 48085-1117
Phone: (248) 964-5111
Fax: (248) 964-5068
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601005244 (MI) |
|---|
Record details
| NPI number | 1174783005 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 13, 2008 |
| Last updated in NPPES | July 28, 2022 |
| Certification date | July 28, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Beaumont Medical Group Hospital Based Services — 572 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 63 |
| Average patient age | 78 |
Colleagues at Beaumont Medical Group Hospital Based Services
- Julie Amicucci Physician Assistant · Grosse Pointe, MI
- Andrew Balavitch Nurse Practitioner · Royal Oak, MI
- Danielle Etienne, MSN, AGACNP-BC Acute Care Nurse Practitioner · Novi, MI
- Michael Gratson, MD Emergency Medicine Physician · Royal Oak, MI
- Dr. Patrick Anthony Isaac, DO Obstetrics & Gynecology Physician · Royal Oak, MI
- Ranjit Kumar Jain, MD, MBBS Diagnostic Radiology Physician · Royal Oak, MI
- MS. Victoria J Lane, NURSEPRACTITIONER Nurse Practitioner · Farmington Hills, MI
- Magdy Nassif Diagnostic Radiology Physician · Sterling Heights, MI
- Dr. Roshan Balakrishna Pai, MD Diagnostic Radiology Physician · Royal Oak, MI
- John David Schwartz, MD Molecular Genetic Pathology (Pathology) Physician · Royal Oak, MI
- Farnoosh Sokhandon, MD Diagnostic Radiology Physician · Royal Oak, MI
- Jeffery Wong, MD Diagnostic Radiology Physician · Troy, MI
Other providers in Troy
-
Michael F Parslow Jr., PA
750 Stephenson Hwy Beaumont Payor Contract Services, Troy, MI 48083-1103 · (248) 577-3519
-
Rikki Pautz, PA-C
44201 Dequindre Rd Ste EC, Troy, MI 48085-1117 · (248) 259-3088
-
Anxhi Pavliqoti, PA
1560 E Maple Rd Ste 290, Troy, MI 48083-1135 · (248) 749-6630
-
Jessica Persaud, PA-C
44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-5000
-
MS. Tiffany Ann Potts, PA
44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-4866
-
Lauren M Puente, PA-C
44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-5000
-
Virginia Clare Purol, MS, PA-C
44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-5000
-
Mr. John G Regalski, PACPHYSICIANASST
264 W Maple #200, Troy, MI 48084 · (248) 273-9930