| Mary Rebecca Stoll, PA | |
|
4170 Cedar Bluff Dr, Petoskey, MI 49770-7627 | |
| (231) 487-2230 | |
| (231) 487-6172 |
| Full Name | Mary Rebecca Stoll |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 4170 Cedar Bluff Dr, Petoskey, 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 |
|---|---|---|---|
| 1083862098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | L1397712 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology Of Michigan Pc | 0941511224 | 40 |
| Entity Name | Advanced Dermatology of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851708929 PECOS PAC ID: 0941511224 Enrollment ID: O20150615000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rebecca Stoll, PA 4170 Cedar Bluff Dr, Petoskey, MI 49770-7627 Ph: (231) 487-2230 | Mary Rebecca Stoll, PA 4170 Cedar Bluff Dr, Petoskey, MI 49770-7627 Ph: (231) 487-2230 |
Jennifer Lynn Pletcher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 300, Petoskey, MI 49770 Phone: 231-487-2460 |
Mr. Kenneth Adams Crockett Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1890 S Us Highway 131, Suite 4, Petoskey, MI 49770 Phone: 231-487-2000 |
Sarah Wadowski, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1890 Us Highway 131, Petoskey, MI 49770 Phone: 231-487-6000 Fax: 231-487-6014 |
Danielle Nicole Cook, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 560 W Mitchell St Ste 505, Petoskey, MI 49770 Phone: 231-487-2100 Fax: 231-487-1909 |
Amanda Danielle Greene, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 116 W Mitchell St, Petoskey, MI 49770 Phone: 231-347-7395 |
Mr. James P Prokos, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 515 W Jefferson St, Petoskey, MI 49770 Phone: 231-348-5622 Fax: 231-348-5625 |
Kathy Tuinhoff, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 560 W Mitchell St Ste 400, Petoskey, MI 49770 Phone: 231-487-2490 |