Kate Marie Ermutlu, | |
1850 Hyland Dr, Portland, MI 48875-8508 | |
(517) 253-5084 | |
Not Available |
Full Name | Kate Marie Ermutlu |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1850 Hyland Dr, Portland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477290583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801110696 (Michigan) | Primary |
Entity Name | Sparrow Ionia Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
Entity Name | Sparrow Carson Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598490542 PECOS PAC ID: 7113836701 Enrollment ID: O20040126000046 |
Entity Name | Sparrow Ionia Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811380066 PECOS PAC ID: 0042118887 Enrollment ID: O20150424002013 |
Mailing Address | Practice Location Address |
---|---|
Kate Marie Ermutlu, Po Box 13008, Lansing, MI 48901-3008 Ph: () - | Kate Marie Ermutlu, 1850 Hyland Dr, Portland, MI 48875-8508 Ph: (517) 253-5084 |
Charlene Ann Pahl, LMSW ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 212 Kent St Ste 5, Child And Family Wellness Counseling Ctr, Portland, MI 48875 Phone: 517-647-4600 Fax: 517-647-4600 |