Ilya V Davidovich, LMSW | |
1001 S Raisinville Rd, Monroe, MI 48161-9754 | |
(734) 384-0305 | |
Not Available |
Full Name | Ilya V Davidovich |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 1001 S Raisinville Rd, Monroe, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790128494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801087558 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jewish Family Services Of Washtenaw County Inc | 2769671106 | 9 |
Entity Name | Jewish Family Services Of Washtenaw County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558691162 PECOS PAC ID: 2769671106 Enrollment ID: O20110114001064 |
Mailing Address | Practice Location Address |
---|---|
Ilya V Davidovich, LMSW 5875 S Ivanhoe Ave, Ypsilanti, MI 48197-7113 Ph: (734) 484-9834 | Ilya V Davidovich, LMSW 1001 S Raisinville Rd, Monroe, MI 48161-9754 Ph: (734) 384-0305 |
Crystal Palmer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-243-7340 | |
Kyleigh Petersen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-384-0083 | |
Mr. Mark G. Haskins, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2092 S Custer Rd, Monroe, MI 48161 Phone: 734-457-2161 Fax: 734-457-4146 | |
Jennifer Burrous, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-243-7340 | |
Mrs. Holly Fiedler, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2092 S Custer Rd, Monroe, MI 48161 Phone: 734-457-2161 Fax: 734-457-4146 | |
Mrs. Lynne M Fogle, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 S Monroe St Ste 205, Monroe, MI 48161 Phone: 734-240-3850 Fax: 734-240-3863 | |
Grace Sambiagio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-384-0240 |