Mid-michigan Behavioral Health, Pc | |
802 W King St Ste G Owosso MI 48867-2100 | |
(989) 725-8124 | |
(989) 723-1205 |
Full Name | Mid-michigan Behavioral Health, Pc |
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Speciality | Psychiatry & Neurology |
Location | 802 W King St Ste G, Owosso, Michigan |
Authorized Official Name and Position | Nazar A Al-saidi (PRESIDENT) |
Authorized Official Contact | 9897258124 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mid-michigan Behavioral Health, Pc 802 W King St Ste G Owosso MI 48867-2100 Ph: (989) 725-8124 | Mid-michigan Behavioral Health, Pc 802 W King St Ste G Owosso MI 48867-2100 Ph: (989) 725-8124 |
NPI Number | 1083823835 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 08/04/2023 |
Certification Date | 08/04/2023 |
Medicare PECOS PAC ID | 2365338225 |
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Medicare Enrollment ID | O20040326000424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083823835 | NPI | - | NPPES |
1083823835 | Medicaid | MI |
Provider Name | Nazar A Al Saidi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831158153 PECOS PAC ID: 3577459429 Enrollment ID: I20040226000488 |
Provider Name | Gerri L Hagadon-szakal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831193358 PECOS PAC ID: 4385611433 Enrollment ID: I20040916000819 |
Provider Name | Dawn M Sirekis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447533138 PECOS PAC ID: 7517134141 Enrollment ID: I20120121000045 |
Provider Name | Jon R Krueger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033473749 PECOS PAC ID: 9638326705 Enrollment ID: I20120823000875 |
Provider Name | Tracey Darling |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487080099 PECOS PAC ID: 4385040344 Enrollment ID: I20210831002000 |
Provider Name | Shelly M Wiggins |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821293010 PECOS PAC ID: 5698125680 Enrollment ID: I20240103003140 |
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