| Ryan St John, PA-C | |
|
605 Oak St, Big Rapids, MI 49307-2048 | |
| (231) 592-4250 | |
| Not Available |
| Full Name | Ryan St John |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 605 Oak St, Big Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629256912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601004089 (Michigan) | Primary |
| Entity Name | Visionary Medical Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538216569 PECOS PAC ID: 1951404185 Enrollment ID: O20070308000475 |
| Entity Name | GB Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689003113 PECOS PAC ID: 4880825009 Enrollment ID: O20140401000089 |
| Entity Name | Lake Michigan Emergency Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124574520 PECOS PAC ID: 0749569242 Enrollment ID: O20161123001655 |
| Entity Name | Ecs Western Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan St John, PA-C Po Box 271, Cadillac, MI 49601-0271 Ph: (231) 775-6076 | Ryan St John, PA-C 605 Oak St, Big Rapids, MI 49307-2048 Ph: (231) 592-4250 |
Susan J Thomas-maliszewski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 650 Linden St Ste 1, Big Rapids, MI 49307 Phone: 231-796-3200 |
Chelsea Marie Snavley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14755 215th Ave, Big Rapids, MI 49307 Phone: 231-796-3200 |
Teagan Brianne Tarbell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14755 215th Ave, Big Rapids, MI 49307 Phone: 231-796-3200 |
Ian Degram, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14755 215th Ave, Big Rapids, MI 49307 Phone: 231-796-3200 |
Tracy Helen Sackett-foster, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 650 Linden St, Suite 1, Big Rapids, MI 49307 Phone: 231-796-3200 Fax: 231-796-5562 |
Maia Elizabeth Conlon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20095 Gilbert Rd Ste B, Big Rapids, MI 49307 Phone: 231-592-1360 |
Jonathan Michael Russell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 705 Oak St Unit 11, Big Rapids, MI 49307 Phone: 231-592-1002 |