Elaine Lee Bussema, LMSW | |
721 6th Ave, Three Rivers, MI 49093-8302 | |
(692) 731-4182 | |
(269) 273-3347 |
Full Name | Elaine Lee Bussema |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 721 6th Ave, Three Rivers, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013467083 | NPI | - | NPPES |
1013467083 | Medicaid | MI | |
MI7819089 | Other | MI | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801094749 (Michigan) | Secondary |
104100000X | Social Worker | 6801094749 (Michigan) | Primary |
Entity Name | Diane M Kanous |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588837736 PECOS PAC ID: 0143389031 Enrollment ID: O20081106000758 |
Entity Name | Three Rivers Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720350903 PECOS PAC ID: 8729245584 Enrollment ID: O20140729001948 |
Mailing Address | Practice Location Address |
---|---|
Elaine Lee Bussema, LMSW 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: () - | Elaine Lee Bussema, LMSW 721 6th Ave, Three Rivers, MI 49093-8302 Ph: (692) 731-4182 |
Theresa Kay Deyoung-foster, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 57239 N Main St Ste 1, Three Rivers, MI 49093 Phone: 269-273-0030 | |
Andrea N Scott, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Jefferson St, Three Rivers, MI 49093 Phone: 269-279-1130 Fax: 269-273-1139 | |
Kelly M Tauschek-hill, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1519 N Main St Ste C, Three Rivers, MI 49093 Phone: 269-273-2024 Fax: 269-273-3191 | |
Alyss Salas, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1519 N Main St Ste C, Three Rivers, MI 49093 Phone: 269-273-2024 Fax: 269-273-3191 | |
Mary Ann Geiser Weber, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 59554 County Line Rd # 2, Three Rivers, MI 49093 Phone: 269-313-5095 | |
Mrs. Lisa Ann Velez, LMSW, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 59478 Roberts Rd, Three Rivers, MI 49093 Phone: 269-535-0152 Fax: 269-528-4128 |