
Care Built Around Patients
Why Referral Partners Choose Avalon
Advanced Home-Based Care
Avalon provides medical care in the home, senior living communities, and clinic settings, helping patients access the right care in the right environment.
Physician-Led Oversight
Experienced physicians and a highly trained clinical team manage medically complex patients with a strong focus on quality and continuity.
Stronger Care Coordination
We coordinate closely with specialists, hospitals, families, pharmacies, therapists, and community providers to support smooth transitions and better outcomes.
Better Long-Term Outcomes
Our model is designed to reduce avoidable hospitalizations, support chronic disease management, and improve quality of life for high-risk patients.


A Trusted Partner for Complex Patient Care
Avalon Physician Services partners with hospitals, physician groups, senior living communities, skilled nursing facilities, and home health organizations to care for patients with complex medical needs. Our model is especially valuable for patients who benefit from closer monitoring, stronger care coordination, and proactive management outside of a traditional office-based setting.
By meeting patients where they are and staying closely connected with caregivers and referral partners, Avalon helps improve continuity, reduce unnecessary utilization, and support better long-term outcomes.

We work alongside referral partners to ensure medically complex patients receive thoughtful, coordinated, physician-led care across home, senior community, and clinic settings.
Our Referral Mission
Helping the Right Patients Access the Right Level of Care

Clinical Leadership You Can Trust
Led by Dr. Gary Sarafa, Avalon brings deep expertise in family medicine, home-based care, and complex patient management.
Dr. Sarafa is an Associate Clinical Professor of Family Medicine, past president of the Oakland County Medical Society, and a recognized leader in home-based medical care. He has trained hundreds of healthcare professionals and has served in leadership roles across local and national organizations. His experience across clinic, hospital, nursing home, and home-based care settings helps Avalon deliver a level of insight and coordination that referral partners can rely on.
Help & Support
Frequently Asked Questions
Avalon Physician Services provides comprehensive primary care across multiple care settings. Our services include in-office primary care, home-based medical care, and medical support for patients living in assisted living communities and other care facilities. Our goal is to deliver coordinated, patient-centered care that improves health outcomes and quality of life.
Avalon Physician Services is led by experienced physicians and supported by a team of highly trained nurse practitioners and clinical staff. Our providers specialize in primary care and managing complex medical conditions, particularly for older adults and patients who require coordinated healthcare services.
Yes. Avalon offers home-based primary care for patients who have difficulty traveling to traditional medical offices or who benefit from receiving care in their home environment. This approach allows our providers to better understand a patient’s health needs and living conditions while delivering personalized care.
Avalon cares for a wide range of patients, including adults and seniors who need primary care services. Many of our patients require ongoing management of chronic conditions, coordination with specialists, or medical care within assisted living communities or at home.
Yes. Avalon partners with assisted living communities, senior living facilities, and other care organizations to provide on-site medical care and clinical coordination. Our goal is to help residents receive consistent medical attention while reducing unnecessary hospital visits.
Our team works closely with specialists, hospitals, and caregivers to ensure patients receive coordinated medical care. We communicate with other providers, review treatment plans, and help patients navigate complex healthcare needs to support better long-term outcomes.
Patients or family members can schedule an appointment by contacting our office directly. Our team will help determine the most appropriate care setting and coordinate the next available appointment.
Avalon works with many major insurance plans. Our administrative team can help verify coverage and answer questions about eligibility before scheduling an appointment.
Healthcare providers, facilities, and care coordinators can refer patients directly to Avalon Physician Services. Our team works closely with referral partners to ensure a smooth transition of care and ongoing communication regarding patient needs.


Dr. Sarafa and his team have been coming to our senior community to service the residents for some time now and we cannot recommend them enough. They are very approachable and extremely knowledgeable. The only regret is that we didn't invite them in sooner!
Greg A.

Impeccably run, incredibly kind, with a spa like tranquility. This office operates with the precision of a Swiss watch and the warmth of a hug. Highly recommend.
Amiya P.

I saw Dr. Sarafa today for an initial visit, and I was very impressed with his knowledge and background. He has set up an excellent treatment plan for me, and he will be following up with me regularly until I am stable. I highly recommend Avalon Physician Services!

From the moment I walked in the door, I felt welcomed and well-cared for. The front office staff was efficient and friendly, and the nurses were attentive and professional.
Alice Jones

Avalon has given me comfort because at my age and living alone health issues happen and help is only a phone call away. They've been so helpful/responsive from a nosebleed to heart attack. Big thanks to entire staff.
Clyde A.

If I could give more than 5 ⭐️ I would. I was searching for help with ostomy care/guidance for my elderly mother who recently had surgery and unexpectedly ended up with a colostomy. Karen Genter who heads their ostomy services has been a god send helping guide us with the right supplies and care instructions for my mom. Everyone I have interacted with at Avalon has been kind, helpful, and caring and for that, I am grateful.
Renee K.

Bre’Ana Strong and her team are amazing! They truly care about their patients and make them feel comfortable, cared for, and respected. I was without a PCP for a while and I’m so glad I found this team! I highly recommend them!
Marianne K.

Finding a new PCP as an adult can be daunting. I chose NP Karen Genter based off of her reviews online and I wholeheartedly agree. I am a few months postpartum and also recovering from major orthopedic trauma, so I was looking for a provider with the ability and knowledge to treat the whole picture. Karen and the entire staff at Avalon are kind, compassionate, and professional. I was able to schedule an appointment within a week of my first call. The environment is warm and welcoming. I highly recommend!
Heather O.
Trusted by Patients, Families, and Care Communities
Testimonials

