Matthew A Stack, PA C - Medicare Physician Assistant in Ithaca, MI

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Matthew A Stack, PA C is a medicare enrolled "Physician Assistant" in Ithaca, Michigan. He graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Genesee Health System, Trauma And Addiction Solutions, Pllc and his current practice location is 121 N Pine River St, Ithaca, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 287-0662.

Matthew A Stack is licensed to practice in Michigan (license number 5601003961) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033108667.

Contact Information

Matthew A Stack, PA C
121 N Pine River St,
Ithaca, MI 48847-1039
(989) 287-0662
Not Available

Map and Direction




Provider's Profile

Full NameMatthew A Stack
GenderMale
SpecialityPhysician Assistant
Experience24 Years
Location121 N Pine River St, Ithaca, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew A Stack graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1033108667
  • Provider Enumeration Date: 10/17/2005
  • Last Update Date: 02/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4981896685
  • Enrollment ID: I20101013000935

Medical Identifiers

Medical identifiers for Matthew A Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033108667NPI-NPPES
50155318OtherNMMEDICAID
P00140431OtherAZRAILROAD
762246MedicaidAZ
0852900260OtherMIBCBSM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2782 (Arizona)Secondary
363A00000XPhysician Assistant 5601003961 (Michigan)Primary
363AM0700XPhysician Assistant - Medical (NU)Secondary
103T00000XPsychologist 6301007939 (Michigan)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Genesee Health System600205109136
Trauma And Addiction Solutions, Pllc35779039132

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew A Stack allows following entities to bill medicare on his behalf.
Entity NameMymichigan Medical Center Alma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568914422
PECOS PAC ID: 3375451404
Enrollment ID: O20040202000975
Entity NameGenesee Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043554348
PECOS PAC ID: 6002051091
Enrollment ID: O20130321000586
Entity NameTrauma and Addiction Solutions, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174381974
PECOS PAC ID: 3577903913
Enrollment ID: O20240501003889

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew A Stack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Matthew A Stack, PA C
121 N Pine River St,
Ithaca, MI 48847-1039

Ph: (989) 287-0662		Matthew A Stack, PA C
121 N Pine River St,
Ithaca, MI 48847-1039

Ph: (989) 287-0662

Reviews and Comments


Physician Assistant Nurses in Ithaca, MI

Mr. Thomas J Knight, PA C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 114 N Main St, Ithaca, MI 48847
Phone: 989-875-4166    Fax: 989-875-3600
Catherine Marie Chimo, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 820 N Pine River St, Ithaca, MI 48847
Phone: 989-875-3722    Fax: 989-875-8903

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.