| Anthony B. Michaels, D.o., P.c. | |
|
189 Townsend St Suite 302 Birmingham MI 48009-6008 | |
| (248) 540-0555 | |
| (248) 540-2180 |
| Full Name | Anthony B. Michaels, D.o., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 189 Townsend St, Birmingham, Michigan |
| Authorized Official Name and Position | Anthony B Michaels (OWNER) |
| Authorized Official Contact | 2485400555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony B. Michaels, D.o., P.c. 189 Townsend St Suite 302 Birmingham MI 48009-6008 Ph: (248) 540-0555 | Anthony B. Michaels, D.o., P.c. 189 Townsend St Suite 302 Birmingham MI 48009-6008 Ph: (248) 540-0555 |
| NPI Number | 1730377292 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 08/13/2013 |
| Medicare PECOS PAC ID | 8224050547 |
|---|---|
| Medicare Enrollment ID | O20051229000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730377292 | NPI | - | NPPES |
| 2756300161 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2105360 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 5101806943 (Michigan) | Primary |
| Provider Name | Jason A Meints |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396155545 PECOS PAC ID: 7810279015 Enrollment ID: I20170124001180 |
| Provider Name | Mark Frederick Balino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790105005 PECOS PAC ID: 2466735741 Enrollment ID: I20170629002435 |
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