| Munson Medical Center | |
|
4230 Copper Ridge Dr Traverse City MI 49684-7256 | |
| (231) 935-5000 | |
| Not Available |
| Full Name | Munson Medical Center |
|---|---|
| Speciality | Social Worker |
| Location | 4230 Copper Ridge Dr, Traverse City, Michigan |
| Authorized Official Name and Position | Bonnie Kruszka (COO MUNSON PHYSICIAN NETWORK) |
| Authorized Official Contact | 2319354995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munson Medical Center Po Box 1131 Traverse City MI 49685-1131 Ph: (231) 935-5000 | Munson Medical Center 4230 Copper Ridge Dr Traverse City MI 49684-7256 Ph: (231) 935-5000 |
| NPI Number | 1386672665 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Medicare PECOS PAC ID | 3072426287 |
|---|---|
| Medicare Enrollment ID | O20040816000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386672665 | NPI | - | NPPES |
| 800B811370 | Other | BLUE SHIELD | |
| 800B811370 | Other | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | David C Rushlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245414200 PECOS PAC ID: 3072587369 Enrollment ID: I20040823000995 |
| Provider Name | Paula Susan Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760434682 PECOS PAC ID: 3971515792 Enrollment ID: I20060619000146 |
| Provider Name | Susan M Elben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942381983 PECOS PAC ID: 3577660828 Enrollment ID: I20070521000462 |
| Provider Name | Andrea S Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992803795 PECOS PAC ID: 6406920339 Enrollment ID: I20080811000332 |
| Provider Name | Marylee Pakieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265517494 PECOS PAC ID: 7911995972 Enrollment ID: I20110113001084 |
| Provider Name | Nancy L Giffels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114202140 PECOS PAC ID: 1557528205 Enrollment ID: I20120207000780 |
| Provider Name | Thomas E Hartwig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982865382 PECOS PAC ID: 1052567468 Enrollment ID: I20120816000857 |
| Provider Name | Kevin M Debruyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326339755 PECOS PAC ID: 2163674797 Enrollment ID: I20121206000270 |
| Provider Name | Samuel J Hobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346622701 PECOS PAC ID: 7214242668 Enrollment ID: I20150814013117 |
| Provider Name | Nanette Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962826230 PECOS PAC ID: 6901199843 Enrollment ID: I20160729000499 |
| Provider Name | Laura Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124564836 PECOS PAC ID: 1850657909 Enrollment ID: I20171107000767 |
| Provider Name | Deborah Strand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346754843 PECOS PAC ID: 4789942137 Enrollment ID: I20171213001153 |
| Provider Name | Murtadha Abdulhussein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316280738 PECOS PAC ID: 0547529752 Enrollment ID: I20180116002018 |
| Provider Name | Michelle Q Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235327214 PECOS PAC ID: 9638430663 Enrollment ID: I20180307001684 |
| Provider Name | Dianna L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497023832 PECOS PAC ID: 9739436288 Enrollment ID: I20180716001907 |
| Provider Name | Margaret Hartmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831554740 PECOS PAC ID: 8527315084 Enrollment ID: I20180716002457 |
| Provider Name | Andrew J Riegel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649685108 PECOS PAC ID: 8123324357 Enrollment ID: I20180904001958 |
| Provider Name | Kelly Bedford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396279469 PECOS PAC ID: 1456686088 Enrollment ID: I20190718000604 |
| Provider Name | Hannah Popa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457913337 PECOS PAC ID: 9739418898 Enrollment ID: I20190916000771 |
| Provider Name | Leah Christine Masters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568120996 PECOS PAC ID: 9638569585 Enrollment ID: I20211208000446 |
| Provider Name | Amy N Keck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851710842 PECOS PAC ID: 9931587599 Enrollment ID: I20220609002696 |
| Provider Name | Jennifer Ghering-throop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285089904 PECOS PAC ID: 4082084397 Enrollment ID: I20230103001119 |
| Provider Name | Elizabeth Clayton Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326383639 PECOS PAC ID: 0143682203 Enrollment ID: I20230822001248 |
| Provider Name | Brittney Harding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174086268 PECOS PAC ID: 1456742980 Enrollment ID: I20230929003128 |
| Provider Name | Deanne R Briggs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023227568 PECOS PAC ID: 8628426939 Enrollment ID: I20231128000730 |
| Provider Name | Lesley A Eddington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689829954 PECOS PAC ID: 2860840006 Enrollment ID: I20231128002170 |
| Provider Name | Lora L Minidis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811245558 PECOS PAC ID: 1254781677 Enrollment ID: I20231228000434 |
| Provider Name | Chad Thomas Bousamra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164694030 PECOS PAC ID: 0446601280 Enrollment ID: I20240105003229 |
| Provider Name | Heath A Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265631493 PECOS PAC ID: 9830541820 Enrollment ID: I20240116000193 |
Katharine Westie Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3537 W Front St, Suite F, Traverse City, MI 49684 Phone: 231-632-4282 | |
E. A. Austin Do Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Madison St, Traverse City, MI 49684 Phone: 231-946-0911 Fax: 231-935-0343 | |
Kelly K Greene Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W 11th St Ste 1w, Traverse City, MI 49684 Phone: 231-929-9040 Fax: 231-929-5586 | |
Pintar Psychological Services, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12719 S West Bay Shore Dr, Suite #9, Traverse City, MI 49684 Phone: 231-714-7054 Fax: 231-943-1032 | |
Senior Outreach Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4996 Ridgewood Rd, Traverse City, MI 49686 Phone: 800-671-1767 | |
Mindspot Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4833 Silver Pines Road, Traverse City, MI 49685 Phone: 231-538-2046 | |
Engel Mind Body Psychiatry Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4620 N Us Highway 31 N, Traverse City, MI 49686 Phone: 231-938-2010 Fax: 231-938-2012 |