Matthew A Stack , PA-C
Physician Assistant • Ithaca, MI
Professional Overview & Biography Verified Profile Summary
Matthew Stack, PA-C is a certified Physician Assistant practicing in Ithaca, MI. With approximately 24 years of clinical experience since completing medical education in 2002, Matthew Stack delivers high-quality medical care to the local community at 121 N PINE RIVER ST.
Matthew Stack maintains professional affiliations with Trauma And Addiction Solutions, Pllc, Genesee Health System and accepts Medicare assignment.
Practice Location & Contact Primary Location
121 N Pine River St
Ithaca, MI 488471039
Medicare Profile & Education
Other
2002
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Ithaca, MI
Practicing in Ithaca, MI (7057 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2026-02-05NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 103T00000X
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
NUCC Taxonomy Code: 363AM0700X
Definition to come...
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Trauma And Addiction Solutions, Pllc
121 N Pine River St, Ithaca, MI 488471039
Phone: 9898750662
Genesee Health System
420 W 5th Ave, Flint, MI 485032445
Phone: 8102573736
Genesee Health System
1040 W Bristol Rd, Flint, MI 485075516
Phone: 8102573705
Secondary Practice Locations
1040 W Bristol Rd
Flint, MI 485075516
Phone: 8102573705
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Family Nurse Practitioner
Counselor - Professional
MALPC
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 121 N PINE RIVER ST, ITHACA, MI 488471039 (Tel: 9892870662)
Registered at 121 N PINE RIVER ST, ITHACA, MI 488471039 (Tel: 9892870662)
Psychologist (License #6301007939 in MI)
Registered at 420 W 5TH AVE, FLINT, MI 485032445 (Tel: 8102573705)
Registered at 420 W 5TH AVE, FLINT, MI 485032445 (Tel: 8102573705)
Physician Assistant (License #5601003961 in MI)
NPI status registered as active in NPPES database
Registered at 330 E WARWICK DR, ALMA, MI 488011014 (Tel: 9896298140)
Registered at 330 E WARWICK DR, ALMA, MI 488011014 (Tel: 9896298140)
Recorded as MATTHEW STACK, PA C
Psychologist (License #6301007939 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
121 N Pine River St
Ithaca, MI 488471039
Phone: 9892870662
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.