Geriatric Connections Llc | |
7085 Territorial Rd Benton Harbor MI 49022-9458 | |
(269) 240-8042 | |
Not Available |
Full Name | Geriatric Connections Llc |
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Speciality | Social Worker |
Location | 7085 Territorial Rd, Benton Harbor, Michigan |
Authorized Official Name and Position | Julie Weckel (OWNER) |
Authorized Official Contact | 2692408042 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geriatric Connections Llc 7085 Territorial Rd Benton Harbor MI 49022-9458 Ph: () - | Geriatric Connections Llc 7085 Territorial Rd Benton Harbor MI 49022-9458 Ph: (269) 240-8042 |
NPI Number | 1760955736 |
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Provider Enumeration Date | 01/02/2019 |
Last Update Date | 01/22/2021 |
Certification Date | 01/22/2021 |
Medicare PECOS PAC ID | 6709124365 |
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Medicare Enrollment ID | O20190207000172 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760955736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Provider Name | Julie A Weckel |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770715443 PECOS PAC ID: 7012054489 Enrollment ID: I20091019000080 |
Provider Name | Shelley Esther Kennedy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801490644 PECOS PAC ID: 3577977016 Enrollment ID: I20210125002593 |
Provider Name | Rachel Schiman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952974248 PECOS PAC ID: 3779986757 Enrollment ID: I20210728002421 |
Provider Name | Allison Kathleen Beiler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285383745 PECOS PAC ID: 2264819465 Enrollment ID: I20220509001650 |
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