Mallory Stolicker, PA-C is a
Student In An Organized Health Care Education/training Program based in Midland, Michigan. Mallory Stolicker is licensed to practice in * (Not Available) (license number ) and her current practice location is
555 W Wackerly St, Midland, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 908-0565.
NPI number for Mallory Stolicker is 1659884336 and her current mailing address is 1582 Coolidge Ave, Saginaw, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659884336.
Provider's Profile
| Full Name | Mallory Stolicker |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 555 W Wackerly St, Midland, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659884336
- Provider Enumeration Date: 11/16/2017
- Last Update Date: 10/16/2024
Medical Identifiers
Medical identifiers for Mallory Stolicker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659884336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 5601012852 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mallory Stolicker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mallory Stolicker, PA-C
1582 Coolidge Ave,
Saginaw, MI 48638-4710
Ph: (269) 908-0565 | Mallory Stolicker, PA-C
555 W Wackerly St,
Midland, MI 48640-4722
Ph: (269) 908-0565 |
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