Unknown Individual – Physician Assistant, NPI 1720003817
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1003, Woodside Avenue, City of Essexville, Hampton Charter Township, Bay County, Michigan, 48732, United States
ESSEXVILLE, MI 487321234
Phone: (989) 892-7722
Fax: (989) 892-7455
Type: Mailing
308, South Harris Street, Willow Springs, Howell County, Missouri, 65793, United States
WILLOW SPRINGS, MO 657931621
Phone: (417) 469-3175
Fax: (417) 469-1274
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48732)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 83036 | Hemoglobin A1C level | 53 | 37 |
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