Roger A Bigelow, MSW, CSW | |
2333 Biddle St, Wyandotte, MI 48192-4668 | |
(734) 246-6000 | |
(734) 246-6990 |
Full Name | Roger A Bigelow |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2333 Biddle St, Wyandotte, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548327232 | NPI | - | NPPES |
P00113906 | Other | MI | MEDICARE RAILROAD |
6801067695 | Other | MI | LICENSE |
1093940272 | Other | GROUP NPI HENRY FORD WYANDOTTE | |
0H21692 | Other | MI | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801067695 (Michigan) | Primary |
Entity Name | Henry Ford Wyandotte Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093940272 PECOS PAC ID: 2264334499 Enrollment ID: O20040316000717 |
Mailing Address | Practice Location Address |
---|---|
Roger A Bigelow, MSW, CSW 1640 Fort St, Suite D Attn Denise, Trenton, MI 48183-2040 Ph: (734) 391-3057 | Roger A Bigelow, MSW, CSW 2333 Biddle St, Wyandotte, MI 48192-4668 Ph: (734) 246-6000 |
Kathryn A Branson, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2300 Biddle Ave Ste 100, Wyandotte, MI 48192 Phone: 734-246-5705 Fax: 734-246-5750 | |
Susan Mahalik, MSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2514 Biddle Ave, Wyandotte, MI 48192 Phone: 517-775-4248 Fax: 734-282-2215 | |
Dianne Marie Stachel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Amanda Fritz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Maple St Ste 215, Wyandotte, MI 48192 Phone: 734-288-8161 | |
Nancy Sherry, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 Fax: 734-246-6990 | |
Mary Ann Corneliussen, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 Fax: 734-246-6986 | |
Latisha Myles, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-324-3535 |