Stacy Peterson, | |
9409 N Haggerty Rd, Plymouth, MI 48170-4696 | |
(734) 559-3540 | |
Not Available |
Full Name | Stacy Peterson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 28 Years |
Location | 9409 N Haggerty Rd, Plymouth, 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 |
---|---|---|---|
1922522838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801089472 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Transformational Services Llc | 8820219322 | 21 |
Entity Name | Transformational Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780090258 PECOS PAC ID: 8820219322 Enrollment ID: O20141027001839 |
Mailing Address | Practice Location Address |
---|---|
Stacy Peterson, 9409 N Haggerty Rd, Plymouth, MI 48170-4696 Ph: () - | Stacy Peterson, 9409 N Haggerty Rd, Plymouth, MI 48170-4696 Ph: (734) 559-3540 |
Mrs. Ann Martin Schueller, L.M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 159 S Harvey St, Plymouth, MI 48170 Phone: 248-842-5323 | |
Ms. Tyler James Pollack, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 N Main St, Suite 300, Plymouth, MI 48170 Phone: 734-546-3833 | |
Cora Marie Kutnick, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 496 W Ann Arbor Trl Ste 202, Plymouth, MI 48170 Phone: 734-414-1373 | |
Ms. Kathleen Price Irvin, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 340 N Main St, Plymouth, MI 48170 Phone: 734-454-3560 | |
Adriana Petrucci, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1308 S Main St, Plymouth, MI 48170 Phone: 734-451-3400 | |
Cynthia Barnwell, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 409 Plymouth Rd, Ste 190, Plymouth, MI 48170 Phone: 734-454-3560 | |
Anna Schankowski, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9409 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-559-3540 Fax: 734-667-3925 |