Maegan Wickstrom, LLMSW | |
5698w Us Highway 2, Manistique, MI 49854-9116 | |
(906) 632-5272 | |
Not Available |
Full Name | Maegan Wickstrom |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5698w Us Highway 2, Manistique, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497363063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Blue Water Mental Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457305419 PECOS PAC ID: 2769477264 Enrollment ID: O20060531000214 |
Mailing Address | Practice Location Address |
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Maegan Wickstrom, LLMSW 5698w Us Highway 2, Manistique, MI 49854-9116 Ph: (906) 632-5272 | Maegan Wickstrom, LLMSW 5698w Us Highway 2, Manistique, MI 49854-9116 Ph: (906) 632-5272 |
Mrs. Nora Lynn Brewster, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8716 N Boot Lake Rd, Manistique, MI 49854 Phone: 906-452-6233 Fax: 906-452-6233 | |
Lisa D Tatrow, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 300 Walnut St Rm 155, Manistique, MI 49854 Phone: 906-341-2244 | |
Trisha Ann Mcevers, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 E. Lakeshore Drive, Suite 102, Manistique, MI 49854 Phone: 906-286-3294 | |
Barbara Gauger, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 125 N Lake St, Manistique, MI 49854 Phone: 906-341-2144 | |
Kellie Campbell, LLMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 125 N Lake St, Manistique, MI 49854 Phone: 906-341-4215 | |
Mr. Jason James Dougherty, L.M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 813 E Lakeshore Dr, Manistique, MI 49854 Phone: 906-341-3420 | |
Lisette Hoeltzel, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 813 E Lakeshore Dr, Manistique, MI 49854 Phone: 906-341-3420 |