Deborah J Gross, MSW CSW | |
325 E H St, Iron Mountain, MI 49801-4760 | |
(906) 774-3300 | |
Not Available |
Full Name | Deborah J Gross |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 325 E H St, Iron Mountain, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649305087 | NPI | - | NPPES |
43584900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1557121 (Wisconsin) | Primary |
Entity Name | Wagner Indian Health Service Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326066796 PECOS PAC ID: 6305758483 Enrollment ID: O20031105000746 |
Entity Name | Quentin N Burdick Comprehensive Health Care Facility |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052 |
Entity Name | Pine Ridge Indian Health Service Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
Mailing Address | Practice Location Address |
---|---|
Deborah J Gross, MSW CSW 325 E H St, Iron Mountain, MI 49801-4760 Ph: (906) 774-3300 | Deborah J Gross, MSW CSW 325 E H St, Iron Mountain, MI 49801-4760 Ph: (906) 774-3300 |
Janice Lynn Bolander, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 Fax: 906-779-3143 | |
Alyssa Knoll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Ms. Nicole Marie Foster Holdwick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-221-4898 | |
Mr. Thom Joseph Rancour, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-229-6120 | |
Sean David Coopersmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 Fax: 906-779-3114 | |
Mr. Mark R Young, MSSW, LMSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 427 S. Stephenson Ave., 2nd Floor, Iron Mountain, MI 49801 Phone: 906-776-4357 | |
Richard Theiler Holmstrom, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 |