| Amanda K Nixon Pa-c PC | |
|
202 Howard St Tustin MI 49688-5123 | |
| (231) 465-4165 | |
| (231) 465-4315 |
| Full Name | Amanda K Nixon Pa-c PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 202 Howard St, Tustin, Michigan |
| Authorized Official Name and Position | Amanda K Nixon (OWNER) |
| Authorized Official Contact | 2314654165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda K Nixon Pa-c PC Po Box 74 Tustin MI 49688-0074 Ph: (231) 465-4165 | Amanda K Nixon Pa-c PC 202 Howard St Tustin MI 49688-5123 Ph: (231) 465-4165 |
| NPI Number | 1578072591 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4587935192 |
|---|---|
| Medicare Enrollment ID | O20170731003739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578072591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
| Provider Name | Jonathan a Dennis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578523502 PECOS PAC ID: 0749310589 Enrollment ID: I20100604000906 |
| Provider Name | Amanda K Nixon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912250861 PECOS PAC ID: 4789838251 Enrollment ID: I20130208000437 |
Spectrum Health Reed City Hospital Tustin Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E Church St, Tustin, MI 49688 Phone: 231-832-8560 Fax: 231-829-3469 |
Spectrum Health Big Rapids Hospital Family Medicine Tustin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E Church St, Tustin, MI 49688 Phone: 231-832-8560 |