| Mr Jay Gillespie, | |
|
520 Cobb St, Cadillac, MI 49601-2588 | |
| (231) 775-6521 | |
| (231) 775-1366 |
| Full Name | Mr Jay Gillespie |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 520 Cobb St, Cadillac, 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 |
|---|---|---|---|
| 1669064846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601010387 (Michigan) | Primary |
| 207QA0505X | Family Medicine - Adult Medicine | 5601010387 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paul Oliver Memorial Hospital | Frankfort, MI | Hospital |
| Munson Medical Center | Traverse city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pic Indiana Pc | 3476790239 | 143 |
| Entity Name | Crystal Lake Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134491731 PECOS PAC ID: 0648259010 Enrollment ID: O20040802000634 |
| Entity Name | Pic Indiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20250228001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jay Gillespie, 520 Cobb St, Cadillac, MI 49601-2588 Ph: (231) 775-6521 | Mr Jay Gillespie, 520 Cobb St, Cadillac, MI 49601-2588 Ph: (231) 775-6521 |
Caitlyn Zeitz, Physician Assistant Medicare: Medicare Enrolled Practice Location: 302 Hobart St, Cadillac, MI 49601 Phone: 231-876-2644 |
Martin Dale Beatty, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7200 |
Mr. Dominik Wiest, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-935-5000 |
Sheryl Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1011 Sunnyside Dr, Cadillac, MI 49601 Phone: 231-779-2565 Fax: 231-775-0744 |
Mrs. Erin Barnum, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 302 Hobart St, Cadillac, MI 49601 Phone: 231-876-2644 Fax: 231-876-5106 |
Lisa Ann Buckley, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7200 |
Jean Margaret-mills Beatty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7200 |