| Russell Mcdaniel, PA-C | |
|
1035 E Wilcox Ave, White Cloud, MI 49349-8794 | |
| (231) 689-5943 | |
| (231) 689-1590 |
| Full Name | Russell Mcdaniel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1035 E Wilcox Ave, White Cloud, 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 |
|---|---|---|---|
| 1417377953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007005 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Big Rapids Hospital | Big rapids, MI | Hospital |
| Corewell Health Gerber Hospital | Fremont, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baldwin Family Health Care | 1153215413 | 35 |
| Entity Name | Baldwin Family Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689783698 PECOS PAC ID: 1153215413 Enrollment ID: O20040209001155 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Mcdaniel, PA-C 520 Cobb St, Cadillac, MI 49601-2588 Ph: (231) 689-5943 | Russell Mcdaniel, PA-C 1035 E Wilcox Ave, White Cloud, MI 49349-8794 Ph: (231) 689-5943 |
Mrs. Heather Marie Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1035 E Wilcox Ave, White Cloud, MI 49349 Phone: 231-689-5943 Fax: 231-689-1590 |
Mr. Stephen Dehaan, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 E Wilcox Ave, White Cloud, MI 49349 Phone: 231-689-3268 Fax: 231-689-1030 |
Mary Wendlowsky, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1823 N Walnut Ave, White Cloud, MI 49349 Phone: 231-301-5212 |
Janell Lynn Colao, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1035 E Wilcox Ave, White Cloud, MI 49349 Phone: 231-689-5943 Fax: 231-689-1590 |