Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Callicotte, PA-C

Individual provider Physician Assistant · NPI 1588225338

Marissa Callicotte, PA-C is a Physician Assistant in Temperance, Michigan. Qualified in 2019, 7 years ago. Practices with Promedica Central Physicians, a 784-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
7
Licensed in
MI, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

8765 Lewis Ave
Temperance, MI 48182-9300
Phone: (734) 654-2169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Marshall Dr, Swanton, OH 43558-1422 — (567) 694-9394

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009570 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 50.006009RX (OH)

Record details

NPI number1588225338
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESJuly 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Temperance