| Mrs Judy J Mitchelson, PA | |
|
10310 Miller Dr, Galesburg, MI 49053 | |
| (269) 286-7150 | |
| (269) 286-7151 |
| Full Name | Mrs Judy J Mitchelson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 10310 Miller Dr, Galesburg, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801900121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601002830 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Bronson Battle Creek Hospital | Battle creek, MI | Hospital |
| Beacon Kalamazoo | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bronson Methodist Hospital | 0244148633 | 721 |
| Complexcare Medical Group Midwest H Pllc | 0143737148 | 128 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Entity Name | Complexcare Medical Group Midwest H PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457144933 PECOS PAC ID: 0143737148 Enrollment ID: O20250815000157 |
| Entity Name | Complexcare Medical Group Midwest M PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528851607 PECOS PAC ID: 1355858630 Enrollment ID: O20251114001811 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Judy J Mitchelson, PA 1045 E Front St, Buchanan, MI 49107-8474 Ph: (269) 695-5540 | Mrs Judy J Mitchelson, PA 10310 Miller Dr, Galesburg, MI 49053 Ph: (269) 286-7150 |
Alyssa R Parker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1080 N 35th St, Galesburg, MI 49053 Phone: 269-665-7043 |
Leon B Papendick, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053 Phone: 269-665-7092 Fax: 269-665-7097 |