| Matthew Allen Tripp, PA | |
|
905 E Colby St, Whitehall, MI 49461 | |
| (231) 728-5910 | |
| (231) 728-5918 |
| Full Name | Matthew Allen Tripp |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 905 E Colby St, Whitehall, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821037268 | NPI | - | NPPES |
| MI7481013 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601002724 (Michigan) | Primary |
| Entity Name | Hackley Community Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629066238 PECOS PAC ID: 8123015492 Enrollment ID: O20040511001126 |
| Entity Name | Mercy Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Allen Tripp, PA Po Box 1848, Muskegon, MI 49443-1848 Ph: (231) 727-5211 | Matthew Allen Tripp, PA 905 E Colby St, Whitehall, MI 49461 Ph: (231) 728-5910 |
Mrs. Michaela Therese Ryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 E Colby St Ste 120, Whitehall, MI 49461 Phone: 231-672-8050 |
Mr. John James Archambeault, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 905 E Colby St, Whitehall, MI 49461 Phone: 231-728-5910 Fax: 231-728-5918 |
Mrs. Jennifer J. Koetje, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 116 W Colby St Ste D, Whitehall, MI 49461 Phone: 231-292-1240 Fax: 231-292-1088 |
Desiree Lee Elliot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 E Colby St, Whitehall, MI 49461 Phone: 231-728-5910 Fax: 231-728-5918 |