| Elizabeth A Brannick, PA | |
|
1881 W Grand River Ave, Okemos, MI 48864-1840 | |
| (517) 339-2100 | |
| Not Available |
| Full Name | Elizabeth A Brannick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1881 W Grand River Ave, Okemos, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073063392 | NPI | - | NPPES |
| 100013700 | Medicaid | FL | |
| JM891Z | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9111012 (Florida) | Secondary |
| 363A00000X | Physician Assistant | (Michigan) | Primary |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | W. A. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
| Entity Name | W. A. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629000708 PECOS PAC ID: 0244136067 Enrollment ID: O20040612000395 |
| Entity Name | Bosworth Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275746091 PECOS PAC ID: 8921106287 Enrollment ID: O20070611000040 |
| Entity Name | Grand River Family Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396301719 PECOS PAC ID: 8628304516 Enrollment ID: O20190730004654 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Brannick, PA 1881 W Grand River Ave, Okemos, MI 48864-1840 Ph: (517) 339-2100 | Elizabeth A Brannick, PA 1881 W Grand River Ave, Okemos, MI 48864-1840 Ph: (517) 339-2100 |
Rhyan Pensa, PA - C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Jolly Rd Ste 150, Okemos, MI 48864 Phone: 517-349-3900 |
Mr. Kipp Edward Rustenholtz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3413 Woods Edge, Okemos, MI 48864 Phone: 517-349-3303 |
Mr. Lance Ian Kortesoja, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2446 Jolly Rd Ste B, Okemos, MI 48864 Phone: 734-748-1899 |
Michelle Gormas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2422 Jolly Rd Ste 100, Okemos, MI 48864 Phone: 517-618-9507 |
Andrew Cone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2175 Donovan Pl, Okemos, MI 48864 Phone: 517-599-8368 Fax: 517-599-8368 |
Paige E Wiegel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 W Grand River Ave Ste 4, Okemos, MI 48864 Phone: 517-381-6880 Fax: 517-381-6881 |
Mrs. Caitlin E Mathison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3413 Woods Edge, Okemos, MI 48864 Phone: 517-349-3303 Fax: 517-349-4374 |