Ms Meghann Antonian Rutherford, LLMSW | |
26184 Outer Dr, Lincoln Park, MI 48146-2084 | |
(313) 389-7525 | |
(313) 389-7510 |
Full Name | Ms Meghann Antonian Rutherford |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 12 Years |
Location | 26184 Outer Dr, Lincoln Park, 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 |
---|---|---|---|
1215291356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801094447 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pure Psychiatry Of Michigan Pllc | 1254741283 | 46 |
Entity Name | Pure Psychiatry Of Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831701671 PECOS PAC ID: 1254741283 Enrollment ID: O20201103002311 |
Mailing Address | Practice Location Address |
---|---|
Ms Meghann Antonian Rutherford, LLMSW 2820 Woodslee Dr, #407, Royal Oak, MI 48073-4401 Ph: (810) 955-6640 | Ms Meghann Antonian Rutherford, LLMSW 26184 Outer Dr, Lincoln Park, MI 48146-2084 Ph: (313) 389-7525 |
Heidi Bremer, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26180 West Outer Drive, Lincoln Park, MI 48146 Phone: 313-294-8821 Fax: 313-294-8824 | |
Tina Maddox, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26300 Outer Dr, Lincoln Park, MI 48146 Phone: 313-388-4330 | |
Mrs. Anna Rose Bushey, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26184 Outer Dr, Lincoln Park, MI 48146 Phone: 313-389-7500 | |
Miss Stacey Schulman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26184 Outer Dr, Lincoln Park, MI 48146 Phone: 313-389-7500 | |
Mr. James P. Lewis, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26300 Outer Dr, Lincoln Park, MI 48146 Phone: 313-388-4630 Fax: 313-388-0472 | |
Miss Marway Sharon Johnson, LLMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 26184 Outer Dr, Lincoln Park, MI 48146 Phone: 313-389-7526 | |
Mrs. Ellen O'bryan Robey, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 26184 Outer Dr, Lincoln Park, MI 48146 Phone: 313-389-7579 |