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1010 S Garfield Ave Traverse City MI 49686 | |
| (231) 346-5216 | |
| (231) 943-2590 |
| Full Name | |
|---|---|
| Speciality | Physician Assistant |
| Location | 1010 S Garfield Ave, Traverse City, Michigan |
| Authorized Official Name and Position | Paula Lipinski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2313465223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1010 S Garfield Ave Traverse City MI 49686-3434 Ph: (231) 346-5223 | 1010 S Garfield Ave Traverse City MI 49686 Ph: (231) 346-5216 |
| NPI Number | 1629431713 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 6204181076 |
|---|---|
| Medicare Enrollment ID | O20180619002138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629431713 | NPI | - | NPPES |
| SA0280010 | Other | MI | SA LICENSE - DAKOSKE |
| SA0280088 | Other | MI | SA LICENSE - PHOENIX |
| QMP000005341779 | Medicaid | MI | |
| SA0280084 | Other | MI | SA LICENSE - THE PIER |
| SA0280085 | Other | MI | SA LICENSE - OUTPATIENT |
| QMP000005341778 | Medicaid | MI |
| Provider Name | Rachel H Plum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447480934 PECOS PAC ID: 3375786288 Enrollment ID: I20130826000035 |
| Provider Name | Susan Connor-herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730475211 PECOS PAC ID: 2961770904 Enrollment ID: I20170616000679 |
| Provider Name | Mary L Harwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073285078 PECOS PAC ID: 3173069648 Enrollment ID: I20240719002298 |
| Provider Name | Sharon Werner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710654793 PECOS PAC ID: 6103359922 Enrollment ID: I20241031001260 |
| Provider Name | Matthew Springberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679110027 PECOS PAC ID: 7113452707 Enrollment ID: I20241119003414 |
Katharine Westie Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3537 W Front St, Suite F, Traverse City, MI 49684 Phone: 231-632-4282 | |
E. A. Austin Do Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Madison St, Traverse City, MI 49684 Phone: 231-946-0911 Fax: 231-935-0343 | |
Kelly K Greene Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W 11th St Ste 1w, Traverse City, MI 49684 Phone: 231-929-9040 Fax: 231-929-5586 | |
Pintar Psychological Services, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12719 S West Bay Shore Dr, Suite #9, Traverse City, MI 49684 Phone: 231-714-7054 Fax: 231-943-1032 | |
Senior Outreach Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4996 Ridgewood Rd, Traverse City, MI 49686 Phone: 800-671-1767 | |
Mindspot Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4833 Silver Pines Road, Traverse City, MI 49685 Phone: 231-538-2046 | |
Engel Mind Body Psychiatry Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4620 N Us Highway 31 N, Traverse City, MI 49686 Phone: 231-938-2010 Fax: 231-938-2012 |