Mr Peter C Wolf, MSW | |
31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-4360 | |
(248) 553-8550 | |
(734) 454-3570 |
Full Name | Mr Peter C Wolf |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 31000 Telegraph Rd, Bingham Farms, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124010137 | NPI | - | NPPES |
N65400018 | Other | MI | MEDICARE PTAN(S) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801077207 (Michigan) | Primary |
1041C0700X | Social Worker - Clinical | 110306 (Massachusetts) | Secondary |
Entity Name | Heron Ridge Associates Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013187541 PECOS PAC ID: 2961303573 Enrollment ID: O20040116000532 |
Entity Name | Optum Behavioral Care Of Colorado, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306616735 PECOS PAC ID: 0941648463 Enrollment ID: O20240412001576 |
Mailing Address | Practice Location Address |
---|---|
Mr Peter C Wolf, MSW 17146 Fairfield St, Detroit, MI 48221-3022 Ph: (313) 415-0479 | Mr Peter C Wolf, MSW 31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-4360 Ph: (248) 553-8550 |
Mrs. Rhonna L Nelson, LMSW DCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 31000 Telegraph Road, Suite 150, Bingham Farms, MI 48025 Phone: 248-723-4114 Fax: 248-723-4766 | |
Rhondi Lynne Mcgill, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite207, Bingham Farms, MI 48025 Phone: 248-712-1129 Fax: 248-569-9410 | |
Lynn Marie Mcdonald, LMSW, ACHP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 32824 Outland Trl, Bingham Farms, MI 48025 Phone: 248-214-5134 | |
Mr. Raphael Don Levin, L.M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025 Phone: 248-594-4991 Fax: 248-594-4992 | |
Sara Krahel, LMSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31600 Telegraph Rd Ste 280, Bingham Farms, MI 48025 Phone: 248-792-8093 | |
Shannon Samuels, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31600 Telegraph Rd Ste 120, Bingham Farms, MI 48025 Phone: 248-792-8093 |