| Desiree Lee Elliot, PA-C | |
|
905 E Colby St, Whitehall, MI 49461-1262 | |
| (231) 728-5910 | |
| (231) 728-5918 |
| Full Name | Desiree Lee Elliot |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 905 E Colby St, Whitehall, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932403037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005954 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Health Muskegon Hospital | Muskegon, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Michigan Observation Services Pllc | 3375938889 | 30 |
| Mercy Health Partners | 1456430016 | 65 |
| Entity Name | Mercy Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629010384 PECOS PAC ID: 2365439544 Enrollment ID: O20040429000064 |
| Entity Name | Synanon Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588650261 PECOS PAC ID: 6204899172 Enrollment ID: O20050105001095 |
| Entity Name | Mercy Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839 |
| Entity Name | Lake Michigan Emergency Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124574520 PECOS PAC ID: 0749569242 Enrollment ID: O20161123001655 |
| Entity Name | Lake Michigan Observation Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518626043 PECOS PAC ID: 3375938889 Enrollment ID: O20220321000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Lee Elliot, PA-C Po Box 1848, Muskegon, MI 49443-1848 Ph: (231) 727-4444 | Desiree Lee Elliot, PA-C 905 E Colby St, Whitehall, MI 49461-1262 Ph: (231) 728-5910 |
Mrs. Michaela Therese Ryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 E Colby St Ste 120, Whitehall, MI 49461 Phone: 231-672-8050 |
Mr. John James Archambeault, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 905 E Colby St, Whitehall, MI 49461 Phone: 231-728-5910 Fax: 231-728-5918 |
Matthew Allen Tripp, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 905 E Colby St, Whitehall, MI 49461 Phone: 231-728-5910 Fax: 231-728-5918 |
Mrs. Jennifer J. Koetje, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 116 W Colby St Ste D, Whitehall, MI 49461 Phone: 231-292-1240 Fax: 231-292-1088 |