Thomas Keane Stetler, PA-C is a
Physician Assistant based in S Boardman, Michigan. Thomas Keane Stetler is licensed to practice in Michigan (license number 5601003799) and his current practice location is
4713 Pine St Sw, S Boardman, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 518-0189.
NPI number for Thomas Keane Stetler is 1164531794 and his current mailing address is 4713 Pine St Sw, S Boardman, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164531794.
Provider's Profile
| Full Name | Thomas Keane Stetler |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 4713 Pine St Sw, S Boardman, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164531794
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 04/21/2011
Medical Identifiers
Medical identifiers for Thomas Keane Stetler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164531794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 5601003799 (Michigan) | 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. Thomas Keane Stetler 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 |
|---|
Thomas Keane Stetler, PA-C
4713 Pine St Sw,
S Boardman, MI 49680-9761
Ph: (231) 518-0189 | Thomas Keane Stetler, PA-C
4713 Pine St Sw,
S Boardman, MI 49680-9761
Ph: (231) 518-0189 |
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