Mr Mike Jay Pontius I, is a
Social Worker - Clinical based in Grand Rapids, Michigan. Mr Mike Jay Pontius I is licensed to practice in Michigan (license number 6801062098) and his current practice location is
40 Jefferson Ave Se, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 988-9388.
NPI number for Mr Mike Jay Pontius I is 1437222171 and his current mailing address is Po Box 150521, Grand Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437222171.
Healthcare Provider's Profile
Full Name | Mr Mike Jay Pontius I |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 40 Jefferson Ave Se, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437222171
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Mike Jay Pontius I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437222171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6401006132 (Michigan) | Primary |
1041C0700X | Social Worker - Clinical | 6801062098 (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. Mr Mike Jay Pontius I 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 |
Mr Mike Jay Pontius I, Po Box 150521, Grand Rapids, MI 49515-0521 Ph: (616) 437-6628 | Mr Mike Jay Pontius I, 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 Ph: (616) 988-9388 |
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