Kaley Fairbairn Llc in Grand Rapids, MI

Kaley Fairbairn Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Grand Rapids, Michigan. The current practice location for Kaley Fairbairn Llc is 1960 Rupert St Ne, Grand Rapids, Michigan. For appointments, you can reach them via phone at (616) 540-6010. The mailing address for Kaley Fairbairn Llc is 1960 Rupert St Ne, Grand Rapids, Michigan and phone number is (616) 540-6010.

Kaley Fairbairn Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033870829. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (616) 540-6010.

Contact Information

	Kaley Fairbairn Llc
	1960 Rupert St Ne Grand Rapids MI 49525-2861
	(616) 540-6010
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	Kaley Fairbairn Llc
Speciality	Social Worker
Location	1960 Rupert St Ne, Grand Rapids, Michigan
Authorized Official Name and Position	Kaley Fairbairn (OWNER)
Authorized Official Contact	6165406010
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kaley Fairbairn Llc 1960 Rupert St Ne Grand Rapids MI 49525-2861 Ph: (616) 540-6010	Kaley Fairbairn Llc 1960 Rupert St Ne Grand Rapids MI 49525-2861 Ph: (616) 540-6010

NPI Details:

NPI Number	1033870829
Provider Enumeration Date	01/04/2022
Last Update Date	01/04/2022
Certification Date	01/04/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	6800262379
Medicare Enrollment ID	O20221025001869

Medical Identifiers

Medical identifiers for Kaley Fairbairn Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033870829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kaley Fairbairn Llc acts as a billing entity for following providers:

Provider Name	Kaley Suzanne Fairbairn
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1396286258 PECOS PAC ID: 9133530306 Enrollment ID: I20201118002327

Reviews and Comments

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Kaley Fairbairn Llc - Medicare Mental Health Clinic in Grand Rapids, MI