| Mr James P Prokos, PAC | |
|
515 W Jefferson St, Petoskey, MI 49770-2223 | |
| (231) 348-5622 | |
| (231) 348-5625 |
| Full Name | Mr James P Prokos |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 515 W Jefferson St, Petoskey, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093740961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003677 (Michigan) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 5601003677 (Michigan) | Primary |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124283502 PECOS PAC ID: 1456420876 Enrollment ID: O20080527000172 |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James P Prokos, PAC 515 W Jefferson St, Petoskey, MI 49770-2223 Ph: (231) 348-5622 | Mr James P Prokos, PAC 515 W Jefferson St, Petoskey, MI 49770-2223 Ph: (231) 348-5622 |
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 |
Mary Rebecca Stoll, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4170 Cedar Bluff Dr, Petoskey, MI 49770 Phone: 231-487-2230 Fax: 231-487-6172 |
Kathy Tuinhoff, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 560 W Mitchell St Ste 400, Petoskey, MI 49770 Phone: 231-487-2490 |
Macie Lynn White, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 116 W Mitchell St, Petoskey, MI 49770 Phone: 231-347-7395 |