Jacob Pattenaude, | |
400 Stoddard Rd, Richmond, MI 48062-2505 | |
(810) 392-2167 | |
Not Available |
Full Name | Jacob Pattenaude |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 400 Stoddard Rd, Richmond, 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 |
---|---|---|---|
1013366194 | NPI | - | NPPES |
1041C0700X | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Transformational Services Llc | 8820219322 | 21 |
Entity Name | Transformational Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780090258 PECOS PAC ID: 8820219322 Enrollment ID: O20141027001839 |
Mailing Address | Practice Location Address |
---|---|
Jacob Pattenaude, 2570 Roselawn St, Wolverine Lake, MI 48390-1945 Ph: () - | Jacob Pattenaude, 400 Stoddard Rd, Richmond, MI 48062-2505 Ph: (810) 392-2167 |
Mrs. Ann M Arcieri, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35000 Division Rd, Richmond, MI 48062 Phone: 586-727-5529 | |
Shana Jean Griffith, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Stoddard Rd, Richmond, MI 48062 Phone: 810-392-2167 Fax: 810-392-3530 | |
Mr. John Francis King, MA LPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35000 Division, Suite 2, Richmond, MI 48062 Phone: 586-727-5529 Fax: 586-727-4922 | |
Nancy Barbour, LMSW CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67515 Main Street, Suite C, Richmond, MI 48062 Phone: 586-727-5529 Fax: 586-727-4922 | |
Kristen N. Holinski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Stoddard Rd, Richmond, MI 48062 Phone: 248-672-7917 | |
Linda Louise Kasler, MSW CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67515 Main Street, Suite C, Richmond, MI 48062 Phone: 586-727-5529 Fax: 586-727-4922 |