Elizabeth Dekryger, PA
Physician Assistant, Surgical in West Branch, MI. Individual provider (NPI-1).
NPI number1750913596
StatusActive
Last updated in NPPESFeb 13, 2024
Details
- NPI
- 1750913596
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elizabeth Dekryger
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2020
- Certification date
- Feb 13, 2024
- Last updated
- Feb 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 5601011600 | MI | Yes |
Other names
- Elizabeth Kay Edson (Former Name)
Practice location
2333 Progress StWest Branch, MI 48661-9384
Phone 989-701-2538 · Fax 989-701-2540
Mailing address
1280 E Campus DrMt Pleasant, MI 48859-2033
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