| Marissa Callicotte, PA-C | |
|
8765 Lewis Ave, Temperance, MI 48182-9300 | |
| (734) 654-2169 | |
| Not Available |
| Full Name | Marissa Callicotte |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 8765 Lewis Ave, Temperance, 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 |
|---|---|---|---|
| 1588225338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.006009RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 5601009570 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Center Of Michigan,inc | 2769575653 | 27 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Callicotte, PA-C 120 Marshall Dr, Swanton, OH 43558-1422 Ph: (567) 694-9394 | Marissa Callicotte, PA-C 8765 Lewis Ave, Temperance, MI 48182-9300 Ph: (734) 654-2169 |
Nicholas Richard Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 | |
Mr. Edward Charles Follas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-847-3418 |