Michael Jerome Bausano, SOCIAL WORKER is a
Social Worker - Clinical based in Canadian Lakes, Michigan. Michael Jerome Bausano is licensed to practice in Michigan (license number 6801069870) and his current practice location is
6713 Sunset Ln, Canadian Lakes, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 598-0894.
NPI number for Michael Jerome Bausano is 1255877965 and his current mailing address is 6713 Sunset Ln, Canadian Lakes, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255877965.
Healthcare Provider's Profile
Full Name | Michael Jerome Bausano |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 6713 Sunset Ln, Canadian Lakes, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255877965
- Provider Enumeration Date: 01/19/2017
- Last Update Date: 04/23/2019
Medical Identifiers
Medical identifiers for Michael Jerome Bausano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255877965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801069870 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Jerome Bausano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Jerome Bausano, SOCIAL WORKER 6713 Sunset Ln, Canadian Lakes, MI 49346-8832 Ph: (231) 598-0894 | Michael Jerome Bausano, SOCIAL WORKER 6713 Sunset Ln, Canadian Lakes, MI 49346-8832 Ph: (231) 598-0894 |
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