Dr Michael Andrew Stack, MD in Ithaca, MI

Dr Michael Andrew Stack, MD is a medicare enrolled "Family Medicine" physician in Ithaca, Michigan. He went to Wayne State University School Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mymichigan Medical Center Alma and his current practice location is 121 N Pine River St, Ithaca, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 875-5111.

Dr Michael Andrew Stack is licensed to practice in Michigan (license number 4301064712) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932146685.

Contact Information

	Dr Michael Andrew Stack, MD
	121 N Pine River St, Ithaca, MI 48847-1039
	(989) 875-5111
	(989) 875-5023

Map and Direction

Physician's Profile

Full Name	Dr Michael Andrew Stack
Gender	Male
Speciality	Family Practice
Experience	31 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.

Medical Education and Training:

Dr Michael Andrew Stack attended and graduated from Wayne State University School Of Medicine in 1994

NPI Data:

NPI Number: 1932146685
Provider Enumeration Date: 06/01/2006
Last Update Date: 09/06/2012

Medicare PECOS Information:

PECOS PAC ID: 7911956701
Enrollment ID: I20071105000087

Medical Identifiers

Medical identifiers for Dr Michael Andrew Stack such as npi, medicare ID, medicare PIN, medicaid, etc.

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

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301064712 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Midmichigan Home Care	Midland, MI	Home health agency
Midmichigan Medical Center-clare	Clare, MI	Hospital
Midmichigan Medical Center-gratiot	Alma, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mymichigan Medical Center Alma	3375451404	94

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael Andrew Stack allows following entities to bill medicare on his behalf.

Entity Name	Mymichigan Medical Center Alma
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568914422 PECOS PAC ID: 3375451404 Enrollment ID: O20040202000975

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. Dr Michael Andrew Stack 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 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

Reviews and Comments

Family Medicine Doctors in Ithaca, MI

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: May Accept Medicare Assignments 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

Dr Michael Andrew Stack, MD - Medicare Family Practice in Ithaca, MI