| Luna Health | |
|
29551 Greenfield Rd Ste 116 Southfield MI 48076-5871 | |
| (248) 974-6565 | |
| (517) 323-9531 |
| Full Name | Luna Health |
|---|---|
| Speciality | Social Worker |
| Location | 29551 Greenfield Rd Ste 116, Southfield, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING BILLING MANAGER) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Health 29551 Greenfield Rd Ste 116 Southfield MI 48076-5871 Ph: (248) 974-6565 | Luna Health 29551 Greenfield Rd Ste 116 Southfield MI 48076-5871 Ph: (248) 974-6565 |
| NPI Number | 1487256459 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Medicare PECOS PAC ID | 2769895101 |
|---|---|
| Medicare Enrollment ID | O20210104001863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487256459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Caitlyn M Witek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033547690 PECOS PAC ID: 0446513709 Enrollment ID: I20180419000523 |
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