| Boe L Bissett, PA-C | |
|
11320 S M 43 Hwy, Delton, MI 49046-9415 | |
| (269) 623-5531 | |
| Not Available |
| Full Name | Boe L Bissett |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 11320 S M 43 Hwy, Delton, 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 |
|---|---|---|---|
| 1922379544 | NPI | - | NPPES |
| 5601006255 | Other | MI | STATE OF MICHIGAN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601006255 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beacon Kalamazoo | Kalamazoo, MI | Hospital |
| Corewell Health Pennock Hospital | Hastings, MI | Hospital |
| Bronson Battle Creek Hospital | Battle creek, MI | Hospital |
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Beacon Plainwell | Plainwell, MI | Long-term care hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Promed | 7315856077 | 255 |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Boe L Bissett, PA-C 11320 S. M 43 Hwy, Delton, MI 49046 Ph: (269) 623-5531 | Boe L Bissett, PA-C 11320 S M 43 Hwy, Delton, MI 49046-9415 Ph: (269) 623-5531 |
John D Kehl, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11275 Sprague Rd, Delton, MI 49046 Phone: 269-623-7121 Fax: 269-623-5527 |