John M Berecz Phd Abpp Llc | |
2117 Grange Rd Buchanan MI 49107-9367 | |
(269) 470-9999 | |
Not Available |
Full Name | John M Berecz Phd Abpp Llc |
---|---|
Speciality | Psychologist |
Location | 2117 Grange Rd, Buchanan, Michigan |
Authorized Official Name and Position | Cynthia Diane Caballero (INSURANCE CLERK/BOOKKEEPER) |
Authorized Official Contact | 2699214921 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John M Berecz Phd Abpp Llc 2117 Grange Rd Buchanan MI 49107-9367 Ph: (269) 470-9999 | John M Berecz Phd Abpp Llc 2117 Grange Rd Buchanan MI 49107-9367 Ph: (269) 470-9999 |
NPI Number | 1144850744 |
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Provider Enumeration Date | 01/22/2020 |
Last Update Date | 01/22/2020 |
Certification Date | 01/22/2020 |
Medicare PECOS PAC ID | 2769818079 |
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Medicare Enrollment ID | O20200205001215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144850744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | John M Berecz |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1518246123 PECOS PAC ID: 6204067879 Enrollment ID: I20140324001973 |
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