| Kate Payne Llc | |
|
1151 Michigan Ave Ste 109 East Lansing MI 48823-4070 | |
| (517) 897-0507 | |
| Not Available |
| Full Name | Kate Payne Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1151 Michigan Ave Ste 109, East Lansing, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kate Payne Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Kate Payne Llc 1151 Michigan Ave Ste 109 East Lansing MI 48823-4070 Ph: (517) 897-0507 |
| NPI Number | 1588211940 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Medicare PECOS PAC ID | 9436481256 |
|---|---|
| Medicare Enrollment ID | O20191029001047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588211940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn L Wachowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275885808 PECOS PAC ID: 4880835099 Enrollment ID: I20130731000532 |
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