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Lisa K Stone

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1221 South Drive, Mt. Pleasant, MI 48858-3255

PECOS Enrollment

This provider is enrolled in PECOS as LISA STONE.

Based on the most recent information from CMS, provider Lisa K Stone is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1598823304
Provider Type
Individual
Full Name
Stone, Lisa K
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/5/2006
Last Updated
12/14/2016

Contact Information

Practice Location

1221 South Drive, Mt. Pleasant, MI 48858-3255

(989) 772-6821

(231) 922-9271

Mailing Location

401 S Ballenger Hwy, Flint, MI 48532-3638

(231) 922-9270

(231) 922-9271

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601004391 Michigan

Provider Identifiers

ID	Description	Issuer
ID 1022872 MONITOR	Description Other	Issuer MCLAREN HEALTH PLAN Michigan
ID 381908328-373	Description Other	Issuer COMMUNITY CHOICE OF MICHIGAN/CARE SOURCE Michigan
ID 1022873 DRG	Description Other	Issuer MCLAREN HEALTH PLAN Michigan
ID 381908328	Description Other	Issuer PRIORITY HEALTH OF MICHIGAN Michigan
ID 381908328-370	Description Other	Issuer COMMUNITY CHOICE/CARE SOURCE Michigan
ID 1022871 RUFFIN	Description Other	Issuer MCLAREN HEALTH PLAN Michigan
ID 381908328-366	Description Other	Issuer COMMUNITY CHOICE OF MICHIGAN/CARE SOURCE Michigan
ID 381908328-372	Description Other	Issuer COMMUNITY CHOICE OF MICHIGAN/CARE SOURCE Michigan
ID 381908328-368	Description Other	Issuer COMMUNITY CHOICE OF MICHIGAN/CARE SOURCE Michigan
ID 1023384 BRIDGEPORT	Description Other	Issuer MCLAREN HEALTH PLAN Michigan
ID 381908328-369	Description Other	Issuer COMMUNITY CHOICE OF MICHIGAN/CARE SOURCE Michigan
ID 4549956	Description Other	Issuer MOLINA HEALTH CARE OF MI Michigan
ID 1022696 JANES ST.	Description Other	Issuer MCLAREN HEALTH PLAN Michigan
ID 159123	Description Other	Issuer GREAT LAKES HEALTH PLAN Michigan
ID 381908328-367	Description Other	Issuer COMMUNITY CHOICE OF MICHIGAN/CARE SOURCE Michigan
ID 381908328-371	Description Other	Issuer COMMUNITY CHOICE MICHIGAN/CARE SOURCE Michigan

Lisa K Stone

PECOS Enrollment

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