Miss Michaela Lynn Pesta, PA-C is a medicare enrolled "Physician Assistant" in Cassopolis, Michigan. Her current practice location is
261 M 62, Cassopolis, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 445-3874.
Miss Michaela Lynn Pesta is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407589674.
Provider's Profile
Full Name | Miss Michaela Lynn Pesta |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 261 M 62, Cassopolis, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407589674
- Provider Enumeration Date: 07/06/2022
- Last Update Date: 12/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375927155
- Enrollment ID: I20220827000507
Medical Identifiers
Medical identifiers for Miss Michaela Lynn Pesta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407589674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (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. Miss Michaela Lynn Pesta is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Michaela Lynn Pesta, PA-C 619 Sherman St, Portage, PA 15946-1635 Ph: (814) 691-3149 | Miss Michaela Lynn Pesta, PA-C 261 M 62, Cassopolis, MI 49031-1034 Ph: (269) 445-3874 |
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