Mr Jamie Louis Otter, | |
114 Orchard Lake Rd, Pontiac, MI 48341-2244 | |
(248) 858-7766 | |
(248) 858-7258 |
Full Name | Mr Jamie Louis Otter |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 114 Orchard Lake Rd, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356869101 | NPI | - | NPPES |
38-1358388 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801109071 (Michigan) | Primary |
Entity Name | Comforts Of Home Counseling & Care Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306193602 PECOS PAC ID: 8123305802 Enrollment ID: O20170505001608 |
Mailing Address | Practice Location Address |
---|---|
Mr Jamie Louis Otter, 391 S Shore Dr Ste 214, Battle Creek, MI 49014-5446 Ph: (269) 964-0153 | Mr Jamie Louis Otter, 114 Orchard Lake Rd, Pontiac, MI 48341-2244 Ph: (248) 858-7766 |
Ms. Shalon Denise Lee, LMSW ACSW CFAE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28 N Saginaw St, Ste 813, Pontiac, MI 48342 Phone: 248-451-0540 Fax: 248-451-0544 | |
Renee Maxwell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 N Saginaw St, Pontiac, MI 48342 Phone: 248-322-6747 | |
Lauren Alexis Lafleur, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Road, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7258 | |
Taryn Reeve Koury, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 | |
Mrs. Erinn Martine Johnson, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1114 Oak Valley Dr, Pontiac, MI 48341 Phone: 248-332-9395 | |
Floretta Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 823 Golf Dr, Pontiac, MI 48341 Phone: 248-320-5034 | |
Marisa Ariel Seltzer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 N Telegraph Rd Bldg 32, Pontiac, MI 48341 Phone: 248-451-2650 |