| Mr Alexander Zachary Persyn, PA-C | |
|
5087 N Royal Dr Ste B, Traverse City, MI 49684-6987 | |
| (231) 935-0440 | |
| (231) 935-0445 |
| Full Name | Mr Alexander Zachary Persyn |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 5087 N Royal Dr Ste B, Traverse City, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740911270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011259 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mymichigan Medical Center Alma | Alma, MI | Hospital |
| Mymichigan Medical Center Clare | Clare, MI | Hospital |
| Mymichigan Medical Center Midland | Midland, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Group | 4981501939 | 174 |
| Entity Name | Mymichigan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740230127 PECOS PAC ID: 4981501939 Enrollment ID: O20040126000905 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Entity Name | Mymichigan Medical Center Sault |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639190382 PECOS PAC ID: 7315936481 Enrollment ID: O20040512000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alexander Zachary Persyn, PA-C 5087 N Royal Dr Ste B, Traverse City, MI 49684-6987 Ph: (231) 935-0440 | Mr Alexander Zachary Persyn, PA-C 5087 N Royal Dr Ste B, Traverse City, MI 49684-6987 Ph: (231) 935-0440 |
Margaret Stevenson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1890 College Dr, Traverse City, MI 49686 Phone: 231-995-1785 |
Johdinann Marsha Olive Hartley Waclawski, PAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Dendrinos Drive, Suite 102, Traverse City, MI 49684 Phone: 616-331-5700 Fax: 616-331-5999 |
Jeffrey Arbour, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 |
Ms. Stacy Zachman Dobreff, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3537 W Front St Ste E, Traverse City, MI 49684 Phone: 231-935-8930 |
John Gabriel Tazzi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3537 W Front St Ste E, Traverse City, MI 49684 Phone: 231-935-5880 Fax: 319-353-4642 |
Mrs. Kolleen Bartosek, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1225 W Front St Ste C, Traverse City, MI 49684 Phone: 231-642-5031 Fax: 231-525-2306 |
Derek Hendrickson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth St Ste 200, Traverse City, MI 49684 Phone: 231-935-5800 Fax: 231-935-5799 |