| 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 |
| Location | 8765 Lewis Ave, Temperance, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| 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 | |
Matthew Alexander Wallace, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7497 Bernard Dr, Temperance, MI 48182 Phone: 616-318-9649 | |
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 |