| Bmsc Mi Llc | |
|
6117 Charlevoix Woods Ct Se Grand Rapids MI 49546-8505 | |
| (855) 241-7160 | |
| (954) 324-8354 |
| Full Name | Bmsc Mi Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6117 Charlevoix Woods Ct Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Melanie Donohue (OWNER) |
| Authorized Official Contact | 7024030438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmsc Mi Llc 10204 Bode St Ste B Plainfield IL 60585-9813 Ph: (855) 241-7160 | Bmsc Mi Llc 6117 Charlevoix Woods Ct Se Grand Rapids MI 49546-8505 Ph: (855) 241-7160 |
| NPI Number | 1639577927 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 09/20/2019 |
| Medicare PECOS PAC ID | 3779892492 |
|---|---|
| Medicare Enrollment ID | O20151020002981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639577927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Timothy E Bozung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285802173 PECOS PAC ID: 3072508118 Enrollment ID: I20040417000327 |
| Provider Name | Alonda Trammell-miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407910961 PECOS PAC ID: 1355611161 Enrollment ID: I20170726002077 |
| Provider Name | Cynthia L Gladyness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184937765 PECOS PAC ID: 1658621776 Enrollment ID: I20180911000335 |
| Provider Name | Moira M Monaghan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043876808 PECOS PAC ID: 0648501478 Enrollment ID: I20191009002399 |
| Provider Name | Cynthia Anne Herndon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295755460 PECOS PAC ID: 7012397920 Enrollment ID: I20220709000861 |
| Provider Name | Zachary Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215644257 PECOS PAC ID: 8426414152 Enrollment ID: I20230522002669 |
| Provider Name | Catherine Sparks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851027650 PECOS PAC ID: 0345600995 Enrollment ID: I20230922000508 |
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