| Christopher Alan Staley Jr, | |
|
520 Main St, Dowagiac, MI 49047-1762 | |
| (269) 783-3052 | |
| Not Available |
| Full Name | Christopher Alan Staley Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 520 Main St, Dowagiac, 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 |
|---|---|---|---|
| 1215588710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601009566 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Medical Center | Traverse city, MI | Hospital |
| Munson Healthcare Grayling Hospital | Grayling, MI | Hospital |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Mymichigan Medical Center Alpena | Alpena, MI | Hospital |
| Kalkaska Memorial Health Center | Kalkaska, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Medical Group | 8820277015 | 191 |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194717504 PECOS PAC ID: 7719881002 Enrollment ID: O20031119000763 |
| 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 |
| Entity Name | Ascension Borgess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029 |
| Entity Name | Munson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Alan Staley Jr, 520 Main St, Dowagiac, MI 49047-1762 Ph: (269) 783-3052 | Christopher Alan Staley Jr, 520 Main St, Dowagiac, MI 49047-1762 Ph: (269) 783-3052 |
Ms. Kathleen Basha, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 57392 M 51 S, Dowagiac, MI 49047 Phone: 269-390-1170 Fax: 269-783-4015 |
Lisa Marie Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-783-3052 |
Olivia Hock Crofoot, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 W High St, Dowagiac, MI 49047 Phone: 269-783-3052 |
Mr. Timothy James Sayers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 515 Main St, Dowagiac, MI 49047 Phone: 269-782-8013 Fax: 269-782-8013 |
Mrs. Shanta Lynn Clark, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 58620 Sink Rd, Pokagon Health Services, Dowagiac, MI 49047 Phone: 269-782-4141 |
Hollie Nate, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-390-0536 |