| All Well-being Services | |
|
1423 Field St Detroit MI 48214 | |
| (313) 924-7860 | |
| (313) 924-0350 |
| Full Name | All Well-being Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1423 Field St, Detroit, Michigan |
| Authorized Official Name and Position | Dawn Rucker (PRESIDENT & CEO) |
| Authorized Official Contact | 3139247860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Well-being Services 1423 Field St Detroit MI 48214-2321 Ph: (313) 924-7860 | All Well-being Services 1423 Field St Detroit MI 48214 Ph: (313) 924-7860 |
| NPI Number | 1679663546 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 06/08/2018 |
| Medicare PECOS PAC ID | 9133010176 |
|---|---|
| Medicare Enrollment ID | O20040322000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679663546 | NPI | - | NPPES |
| 0Q26419 | Other | MI | BLUE CROSS & BLUE SHIELD |
| 1706562 | Medicaid | MI | |
| 0Q26261 | Other | MI | BLUE CROSS BLUE SHIELD |
| Provider Name | Satyamurthy Kotamraju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083626501 PECOS PAC ID: 5193629285 Enrollment ID: I20031120000773 |
| Provider Name | Kehinde A Ayeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366520470 PECOS PAC ID: 8729073580 Enrollment ID: I20040420000261 |
| Provider Name | Malinda L Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235380791 PECOS PAC ID: 2860462074 Enrollment ID: I20040727000520 |
| Provider Name | William W Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508877317 PECOS PAC ID: 9133259807 Enrollment ID: I20100608000191 |
| Provider Name | Neelam Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922142314 PECOS PAC ID: 1153514419 Enrollment ID: I20101019000568 |
| Provider Name | Rownak A Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497761019 PECOS PAC ID: 6901071240 Enrollment ID: I20111228000053 |
| Provider Name | Lauren M Gardiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235483264 PECOS PAC ID: 3678852910 Enrollment ID: I20161109001881 |
| Provider Name | Paulette M Mahone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023509288 PECOS PAC ID: 9133475841 Enrollment ID: I20180711002057 |
| Provider Name | Kimberly A Jovanovski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821547332 PECOS PAC ID: 8123445467 Enrollment ID: I20200901000905 |
| Provider Name | Monique N Gaines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720433097 PECOS PAC ID: 0345651204 Enrollment ID: I20201124003158 |
| Provider Name | Meghan Renee Parsons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922598945 PECOS PAC ID: 2365800703 Enrollment ID: I20230616002610 |
| Provider Name | Tamara Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164875548 PECOS PAC ID: 1759749633 Enrollment ID: I20230626000721 |
| Provider Name | Tameshia Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225582976 PECOS PAC ID: 3173982469 Enrollment ID: I20230705001459 |
| Provider Name | Yolanda James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497155501 PECOS PAC ID: 1355701822 Enrollment ID: I20230714002938 |
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