Individual provider Active NPI

Elizabeth Trebilcock, PA

  • Medical Physician Assistant
  • Midland, MI
National Provider Identifier
1841237641
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601004642 Issued in MI
Practice address
555 W Wackerly St Ste 2600
Midland, MI 48640-4710
Phone
(989) 794-2880
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601004642 MI Primary

Addresses

Primary practice location

555 W Wackerly St Ste 2600
Midland, MI 48640-4710

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other practice location 1

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-6137

Other identifiers 1

IdentifierTypeStateIssuer
P00343767OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000822 MI Practitioner - Physician Assistant 4981624913 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

801 Joe Mann Blvd
Midland, MI 48642-8909

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004642MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Apr 24, 2023 Accepting new patients
McLaren Medical Group CurrentSince Jul 31, 2018 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Apr 24, 2023 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Apr 24, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 24, 2023 Accepting new patients
McLaren Medical Group CurrentSince Jul 31, 2018 Accepting new patients
Mymichigan Medical Center Gladwin Physician Assistant CurrentSince Apr 24, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 24, 2023 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Apr 24, 2023 Accepting new patients
Mymichigan Medical Group CurrentSince Apr 24, 2023 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Apr 24, 2023 Accepting new patients
Obscare PC Past Accepting new patients
Statcare PC Physician Assistant Past Accepting new patients
Mid-Michigan Orthopaedics Physician Assistant Past Accepting new patients
Stat Care PC Past Accepting new patients
McLaren Medical Group Past Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

801 Joe Mann Blvd
Ste C
Midland, MI 48642
Phone (989) 486-9090

555 W Wackerly St
Ste 2600
Midland, MI 48640
Phone (866) 625-3570

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

5785 E Broadway Rd
Mt Pleasant, MI 48858
Phone (989) 773-9421

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1841237641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST STE 2600",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404710",
            "telephone_number": "989-794-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Genesys Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398065",
            "country_code": "US",
            "telephone_number": "810-606-6137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREBILCOCK",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00343767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.