Individual ProviderMatthew BrothertonPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4851 E Pickard St Ste 1000, Mt Pleasant, MI 48858-2041(989) 956-9069PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Brotherton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1700623840Provider TypeIndividualFull NameBrotherton, MatthewCredentialP.A.Sole ProprietorYesEnumeration Date7/15/2024Last Updated7/15/2024Contact InformationPractice LocationPractice Address4851 E Pickard St Ste 1000, Mt Pleasant, MI 48858-2041Phone(989) 956-9069FaxUnlisted FaxMailing LocationMailing Address4000 Wellness Dr, Midland, MI 48670-2000PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer