Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Renee Deanne Mesack, PA-C

Individual provider Physician Assistant · NPI 1629005111

Renee Deanne Mesack, PA-C is a Physician Assistant in Gaylord, Michigan. Qualified in 1997, 29 years ago. Practices with St Vincent Hospital, a 332-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1996 Walden Dr
Gaylord, MI 49735-8241
Phone: (989) 731-4111
Fax: (989) 705-8511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002853 (MI)

Record details

NPI number1629005111
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESDecember 3, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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