| Primacare, L.l.c. | |
|
28303 Joy Rd Westland MI 48185-5524 | |
| (734) 513-1122 | |
| Not Available |
| Full Name | Primacare, L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 28303 Joy Rd, Westland, Michigan |
| Authorized Official Name and Position | Debi Barrett (ASST. ADMINISTRATOR) |
| Authorized Official Contact | 7345131122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primacare, L.l.c. 28303 Joy Rd Westland MI 48185-5524 Ph: (734) 421-1405 | Primacare, L.l.c. 28303 Joy Rd Westland MI 48185-5524 Ph: (734) 513-1122 |
| NPI Number | 1205854726 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 02/12/2008 |
| Medicare PECOS PAC ID | 1951489194 |
|---|---|
| Medicare Enrollment ID | O20080429000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205854726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Richard Rizzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174709398 PECOS PAC ID: 6204914450 Enrollment ID: I20080528000350 |
| Provider Name | Katherine Lin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073934857 PECOS PAC ID: 7113213067 Enrollment ID: I20160901001777 |
| Provider Name | Philip Odwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205037850 PECOS PAC ID: 6608132121 Enrollment ID: I20171115002806 |
| Provider Name | Bette Matzas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962688549 PECOS PAC ID: 1052678372 Enrollment ID: I20171121003393 |
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