<unavail> in Holt, MI - Medicare Clinical Neuropsychologist

is a medicare enrolled mental health clinic (Clinical Neuropsychologist) in Holt, Michigan. The current practice location for is 2132 Cedar St Ste 2, Holt, Michigan. For appointments, you can reach them via phone at (517) 853-1925. The mailing address for is 809 Center Street, Suite 8a, Lansing, Michigan and phone number is (517) 853-1925.

is licensed to practice in Michigan (license number 6301005619). The clinic also participates in the medicare program and its NPI number is 1841252186. 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 (517) 853-1925.

Contact Information


	2132 Cedar St Ste 2 Holt MI 48842-1458
	(517) 853-1925
	(517) 853-1926

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Clinical Neuropsychologist
Location	2132 Cedar St Ste 2, Holt, Michigan
Authorized Official Name and Position	Edward C Cook (DOCTOR/ PRIMARY OFFICER)
Authorized Official Contact	5178531925
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
809 Center Street Suite 8a Lansing MI 48906 Ph: (517) 853-1925	2132 Cedar St Ste 2 Holt MI 48842-1458 Ph: (517) 853-1925

NPI Details:

NPI Number	1841252186
Provider Enumeration Date	04/03/2006
Last Update Date	11/12/2024
Certification Date	11/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6901836808
Medicare Enrollment ID	O20050820000019

Medical Identifiers

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

Identifier	Type	State	Issuer
1841252186	NPI	-	NPPES
OC31120	Other	MI	BC BS GROUP
036126	Other		VALUE OPTIONS
680C346730	Other	MI	BC BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103G00000X	Clinical Neuropsychologist	6301005619 (Michigan)	Primary
103G00000X	Clinical Neuropsychologist	(* (Not Available))	Secondary
103TF0200X	Psychologist - Forensic	(* (Not Available))	Secondary

Medicare Reassignments

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

Provider Name	Edward C Cook
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1023043569 PECOS PAC ID: 3173553070 Enrollment ID: I20110325000738

Reviews and Comments

Clinical Neuropsychologist in Holt, MI

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- Medicare Mental Health Clinic in Holt, MI