Matthew A Stack, PAC
Matthew A Stack, PAC is a Physician Assistant in Ithaca, Michigan. Qualified in 2002, 24 years ago. Practices with Genesee Health System, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Michigan.
- Years since qualifying
- 24
- Licensed in
- AZ, MI
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
121 N Pine River StIthaca, MI 48847-1039
Phone: (989) 287-0662
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1040 W Bristol Rd, Flint, MI 48507-5516 — (810) 257-3705
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601003961 (MI) |
|---|---|
| Psychologist | Taxonomy 103T00000X · Licence 6301007939 (MI) |
| Medical Physician Assistant | Taxonomy 363AM0700X |
| Physician Assistant | Taxonomy 363A00000X · Licence 2782 (AZ) |
Record details
| NPI number | 1033108667 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | October 17, 2005 |
| Last updated in NPPES | February 5, 2026 |
| Certification date | February 5, 2026 |
| Mailing address | 121 N Pine River St, Ithaca, MI 48847-1039 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Genesee Health System — 37 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |