Ms Diane Gail Russell, MSW | |
25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | |
(586) 773-6020 | |
(586) 773-6093 |
Full Name | Ms Diane Gail Russell |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 31 Years |
Location | 25869 Kelly Rd, Roseville, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245380781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801066657 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Biological Psychiatry Center, Pc | 8820067200 | 7 |
Entity Name | Biological Psychiatry Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073541769 PECOS PAC ID: 8820067200 Enrollment ID: O20041001000563 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane Gail Russell, MSW 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 Ph: (586) 773-6020 | Ms Diane Gail Russell, MSW 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 Ph: (586) 773-6020 |
Yvette Mccoy-rodgers, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 18303 E 10 Mile Rd, Roseville, MI 48066 Phone: 586-204-1576 | |
Terri Leonard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27730 Brinker St, Roseville, MI 48066 Phone: 586-204-3557 | |
Darnisha Sharday Mackey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27085 Gratiot Ave Ste 107, Roseville, MI 48066 Phone: 586-285-5361 | |
Ms. Kristen Joy King, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 18223 E 10 Mile Rd Ste 100, Roseville, MI 48066 Phone: 586-778-5880 Fax: 586-778-4362 | |
Lamika Banks, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 27550 Groveland St, Roseville, MI 48066 Phone: 586-213-2837 | |
Mrs. Mary G. Koukios, L.M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25869 Kelly Rd Ste A, Roseville, MI 48066 Phone: 586-773-6020 Fax: 586-773-6093 |