Mr Zachary Paul Goodman, | |
279 Summit Dr, Waterford, MI 48328-3364 | |
() - | |
Not Available |
Full Name | Mr Zachary Paul Goodman |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 7 Years |
Location | 279 Summit Dr, Waterford, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265004436 | NPI | - | NPPES |
6801107353 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801107353 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cns Healthcare | 8729980198 | 22 |
Entity Name | Cns Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538068 PECOS PAC ID: 8729980198 Enrollment ID: O20040126000163 |
Mailing Address | Practice Location Address |
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Mr Zachary Paul Goodman, 23624 Willowbrook, Novi, MI 48375-3659 Ph: (248) 505-5983 | Mr Zachary Paul Goodman, 279 Summit Dr, Waterford, MI 48328-3364 Ph: () - |
Bethany Piccinato, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 269 Summit Dr, Waterford, MI 48328 Phone: 248-706-3450 | |
Kelly A. Teague, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6637 Highland Rd, Waterford, MI 48327 Phone: 248-666-8870 | |
Mrs. Courtney Elizabeth Paladino, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 279 Summit Dr, Waterford, MI 48328 Phone: 248-409-4165 Fax: 248-745-6872 | |
Mr. Richard Lee Kleinstiver, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6515 Highland Rd, Ste. 110, Waterford, MI 48327 Phone: 248-738-0301 | |
Mrs. Christine R Ladronka, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 269 Summit Dr, Waterford, MI 48328 Phone: 248-706-3450 | |
Jordyn Jendrzejewski, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 279 Summit Dr, Waterford, MI 48328 Phone: 248-871-1465 | |
Ms. Brenda Ann Young, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2715 Sylvan Shores Dr, Waterford, Waterford, MI 48328 Phone: 248-682-5002 |