| Autumn Elizabeth Dittenber, PA-C | |
|
111 E Wackerly St Ste D, Midland, MI 48642-7043 | |
| (989) 495-2050 | |
| (989) 495-2095 |
| Full Name | Autumn Elizabeth Dittenber |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 111 E Wackerly St Ste D, Midland, 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 |
|---|---|---|---|
| 1013461581 | NPI | - | NPPES |
| PA58848 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007826 (Michigan) | Primary |
| 363A00000X | Physician Assistant | 58848 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tawas St Joseph Hospital | Tawas city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ausable Valley Community Mental Health Services Board | 2961485610 | 16 |
| Springfield Urgent Care Pllc | 3971869942 | 36 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Elizabeth Dittenber, PA-C Po Box 320008, Flint, MI 48532-0001 Ph: (989) 495-2050 | Autumn Elizabeth Dittenber, PA-C 111 E Wackerly St Ste D, Midland, MI 48642-7043 Ph: (989) 495-2050 |
Molly Meehan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1012 Corrinne St, Midland, MI 48642 Phone: 847-529-2420 | |
Casey Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr Ste 2700, Midland, MI 48640 Phone: 989-839-3385 | |
Brooke Hawkins, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 4100 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-1795 | |
Michael Daniel Howson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Mariellen Wazny, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 3009 N Saginaw Rd, Midland, MI 48640 Phone: 989-633-1350 Fax: 989-633-1353 | |
Jeffrey Michael Gandy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 W Wackerly St, Suite 2600, Midland, MI 48640 Phone: 989-839-8865 Fax: 989-631-7337 |