| Mr Casey Thomas Weitzel, PA-C | |
|
14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | |
| (231) 547-4024 | |
| Not Available |
| Full Name | Mr Casey Thomas Weitzel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 14700 Lake Shore Dr, Charlevoix, 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 |
|---|---|---|---|
| 1811658347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology Of Michigan Pc | 0941511224 | 40 |
| The Skin Cancer And Dermatology Center Plc | 5597012096 | 5 |
| Entity Name | Northwestern Michigan Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073597944 PECOS PAC ID: 7214933928 Enrollment ID: O20061019000359 |
| 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 |
| Entity Name | The Skin Cancer and Dermatology Center PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346732880 PECOS PAC ID: 5597012096 Enrollment ID: O20180714000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Casey Thomas Weitzel, PA-C 1105 6th St, Traverse City, MI 49684-2345 Ph: (231) 947-0673 | Mr Casey Thomas Weitzel, PA-C 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 Ph: (231) 547-4024 |
Linda Anne Zerby, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14700 Lake Shore Dr, Charlevoix, MI 49720 Phone: 231-547-4024 Fax: 801-740-2847 |
Kathryn Helen Frake, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14705 W Upright St, Charlevoix, MI 49720 Phone: 231-547-8777 Fax: 231-547-8638 |
Morgan Kelsey Olson-hamminga, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14734 Park Ave, Charlevoix, MI 49720 Phone: 231-547-6554 Fax: 231-392-7332 |
Justin Robert Kapke, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14695 Park Ave Ste A, Charlevoix, MI 49720 Phone: 321-487-2270 |
Carolann Rose Sheaffer-hoffman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 14705 W Upright St, Charlevoix, MI 49720 Phone: 231-547-8521 |
Ernest Walker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14700 Lake Shore Dr, Charlevoix, MI 49720 Phone: 231-547-8507 Fax: 801-740-2847 |