| Mollie Anne Tisdale, PAC | |
|
14755 215th Ave, Big Rapids, MI 49307-9224 | |
| (231) 796-3200 | |
| Not Available |
| Full Name | Mollie Anne Tisdale |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 14755 215th Ave, 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 |
|---|---|---|---|
| 1750014296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011275 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mollie Anne Tisdale, PAC 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Mollie Anne Tisdale, PAC 14755 215th Ave, Big Rapids, MI 49307-9224 Ph: (231) 796-3200 |
Patricia Jackson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 20095 Gilbert Rd Ste B, Big Rapids, MI 49307 Phone: 231-592-1360 | |
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 | |
Tracy Helen Sackett-foster, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 Linden St, Suite 1, Big Rapids, MI 49307 Phone: 231-796-3200 Fax: 231-796-5562 | |
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 | |
Andria Keusch, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 Linden St, Suite 1, Big Rapids, MI 49307 Phone: 231-796-3200 Fax: 231-796-5562 | |
Mrs. Courtney Rose-meyer Smith, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14755 215th Ave, Big Rapids, MI 49307 Phone: 231-796-3200 | |
Emily Sherburn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 Linden St Ste 1, Big Rapids, MI 49307 Phone: 231-796-3200 |