| Mallory Stolicker, PA-C | |
|
555 W Wackerly St, Midland, MI 48640-4722 | |
| (269) 908-0565 | |
| Not Available |
| Full Name | Mallory Stolicker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 555 W Wackerly St, Midland, 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 |
|---|---|---|---|
| 1659884336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601012852 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mymichigan Medical Center Midland | Midland, MI | Hospital |
| Mymichigan Medical Center Clare | Clare, MI | Hospital |
| Mymichigan Medical Center Alpena | Alpena, MI | Hospital |
| Mymichigan Medical Center Alma | Alma, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Group | 4981501939 | 174 |
| Mymichigan Medical Center Midland | 2264323633 | 507 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Entity Name | Mymichigan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689623506 PECOS PAC ID: 4981501939 Enrollment ID: O20060727000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Stolicker, PA-C 1582 Coolidge Ave, Saginaw, MI 48638-4710 Ph: (269) 908-0565 | Mallory Stolicker, PA-C 555 W Wackerly St, Midland, MI 48640-4722 Ph: (269) 908-0565 |
Molly Meehan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1012 Corrinne St, Midland, MI 48642 Phone: 847-529-2420 |
Casey Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr Ste 2700, Midland, MI 48640 Phone: 989-839-3385 |
Brooke Hawkins, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4100 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-1795 |
Michael Daniel Howson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3000 |
Mariellen Wazny, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3009 N Saginaw Rd, Midland, MI 48640 Phone: 989-633-1350 Fax: 989-633-1353 |
Jeffrey Michael Gandy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 W Wackerly St, Suite 2600, Midland, MI 48640 Phone: 989-839-8865 Fax: 989-631-7337 |
Julayne Bullard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Campus Ridge Dr Ste Ll110, Midland, MI 48640 Phone: 989-837-9400 |