Mrs Marianne Dolores Mckissick, PAC in Marysville, MI

Mrs Marianne Dolores Mckissick, PAC is a medicare enrolled "Physician Assistant" in Marysville, Michigan. Her current practice location is 3350 Gratiot Blvd, Marysville, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 364-4000.

Mrs Marianne Dolores Mckissick is licensed to practice in Michigan (license number 5601003532) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710154521.

Contact Information

	Mrs Marianne Dolores Mckissick, PAC
	3350 Gratiot Blvd, Marysville, MI 48040-2121
	(810) 364-4000
	(810) 364-5995

Map and Direction

Provider's Profile

Full Name	Mrs Marianne Dolores Mckissick
Gender	Female
Speciality	Physician Assistant
Location	3350 Gratiot Blvd, Marysville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710154521
Provider Enumeration Date: 05/12/2008
Last Update Date: 10/08/2013

Medicare PECOS Information:

PECOS PAC ID: 8123002474
Enrollment ID: I20040615001184

Medical Identifiers

Medical identifiers for Mrs Marianne Dolores Mckissick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710154521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601003532 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Marianne Dolores Mckissick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Marianne Dolores Mckissick, PAC 3350 Gratiot Blvd, Marysville, MI 48040-2121 Ph: (810) 364-4000	Mrs Marianne Dolores Mckissick, PAC 3350 Gratiot Blvd, Marysville, MI 48040-2121 Ph: (810) 364-4000

Reviews and Comments

Physician Assistant Nurses in Marysville, MI

Meghan Kinter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3350 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-5995
Shannon M Rottman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3350 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-6623
Torie Katelin Leslie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3350 Gratiot Blvd Ste A, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-4000
Todd P Stachowiak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3350 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-5995

Mrs Marianne Dolores Mckissick, PAC - Medicare Physician Assistant in Marysville, MI