Jay Skaggs, | |
140 Michigan Ave W, Battle Creek, MI 49017-3602 | |
(269) 966-1460 | |
(269) 979-7766 |
Full Name | Jay Skaggs |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 140 Michigan Ave W, Battle Creek, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811224637 | NPI | - | NPPES |
6401011644 | Other | MI | LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6401011644 (Michigan) | Primary |
Entity Name | Desert Streams P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740295492 PECOS PAC ID: 2961446273 Enrollment ID: O20050617000194 |
Mailing Address | Practice Location Address |
---|---|
Jay Skaggs, 140 Michigan Ave W, Battle Creek, MI 49017-3602 Ph: (269) 966-1460 | Jay Skaggs, 140 Michigan Ave W, Battle Creek, MI 49017-3602 Ph: (269) 966-1460 |
Edwina Wallace, Counselor Medicare: Medicare Enrolled Practice Location: 140 Michigan Ave W, Battle Creek, MI 49017 Phone: 269-966-1460 Fax: 269-966-2844 | |
Ginger Osborn, Counselor Medicare: Medicare Enrolled Practice Location: 4625 Beckley Rd, Battle Creek, MI 49015 Phone: 269-979-8119 | |
Jessica Lea Cuellar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Brigden Dr, Battle Creek, MI 49014 Phone: 269-282-7105 | |
Emily Wilber, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Brigden Dr, Battle Creek, MI 49014 Phone: 269-282-7112 | |
Inyoung Michelle Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3630 Capital Ave Sw, Battle Creek, MI 49015 Phone: 269-966-1460 | |
Troy Michael Masengale, Counselor Medicare: Medicare Enrolled Practice Location: 11 Green St, Battle Creek, MI 49014 Phone: 269-965-1148 | |
Amanda Ann-morgan Cope, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Columbia Ave E Ste 4, Battle Creek, MI 49014 Phone: 269-962-9611 Fax: 269-962-9612 |