Mark Alan Sanford-pelcher, is a
Psychologist - Counseling based in Grand Rapids, Michigan. Mark Alan Sanford-pelcher is licensed to practice in Michigan (license number 6301007605) and his current practice location is
1000 Monroe Ave Nw, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 259-7207.
NPI number for Mark Alan Sanford-pelcher is 1790802833 and his current mailing address is 1349 Buth Dr Ne, Comstock Park, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790802833.
Healthcare Provider's Profile
| Full Name | Mark Alan Sanford-pelcher |
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| Gender | Male |
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| Speciality | Psychologist - Counseling |
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| Location | 1000 Monroe Ave Nw, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790802833
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 04/27/2021
Medical Identifiers
Medical identifiers for Mark Alan Sanford-pelcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790802833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 6401007748 (Michigan) | Secondary |
| 103TC1900X | Psychologist - Counseling | 6301007605 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Alan Sanford-pelcher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Alan Sanford-pelcher,
1349 Buth Dr Ne,
Comstock Park, MI 49321-9698
Ph: (616) 581-1214 | Mark Alan Sanford-pelcher,
1000 Monroe Ave Nw,
Grand Rapids, MI 49503-1455
Ph: (616) 259-7207 |
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