| Dr Michael Andrew Stack, MD | |
| 
					121 N Pine River St, Ithaca, MI 48847-1039  | |
| (989) 875-5111 | |
| (989) 875-5023 | 
| Full Name | Dr Michael Andrew Stack | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 121 N Pine River St, Ithaca, Michigan | 
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932146685 | NPI | - | NPPES | 
| 1008870 | Other | MI | MCLAREN | 
| 0985726 | Other | MI | HEALTHPLUS COMMERCIAL | 
| 4424316 | Medicaid | MI | |
| 4424316 | Other | MI | MOLINA | 
| 1005781 | Other | MI | MCLAREN | 
| 200000005888 | Other | MI | PHP COMMERCIAL | 
| 0802900531 | Other | MI | BCBSM | 
| 0802911901 | Other | MI | BCBSM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301064712 (Michigan) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael Andrew Stack, MD 121 N Pine River St, Ithaca, MI 48847-1039 Ph: (989) 875-5111  | Dr Michael Andrew Stack, MD 121 N Pine River St, Ithaca, MI 48847-1039 Ph: (989) 875-5111  | 
Dr. Hallie J Wilson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-3600  | |
Juan Jose Montoya Novoa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-5168  | |
Mr. Donald Graham Prouty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 N Pine River St, Ithaca, MI 48847 Phone: 989-875-3722 Fax: 989-875-3732  | |
Dr. Hillary Agnes Shemes, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-5168  | |
Dr. David J Freestone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-3600  | |
Dr. Russell J Anderson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-3600  |