Reliance Community Care Partners - Medicare Mental Health Clinic in Grand Rapids, MI

Reliance Community Care Partners is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Grand Rapids, Michigan. The current practice location for Reliance Community Care Partners is 2100 Raybrook St Se Ste 100, Grand Rapids, Michigan. For appointments, you can reach them via phone at (616) 954-1555. The mailing address for Reliance Community Care Partners is 2100 Raybrook St Se Ste 203, Grand Rapids, Michigan and phone number is (616) 954-1518.

Reliance Community Care Partners is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1861045775. 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 (616) 954-1555.

Contact Information

Reliance Community Care Partners
2100 Raybrook St Se Ste 100
Grand Rapids
MI 49546-5782
(616) 954-1555
(616) 954-1520

Map and Direction


Mental Health Clinic Profile

Full NameReliance Community Care Partners
SpecialityPsychiatry & Neurology
Location2100 Raybrook St Se Ste 100, Grand Rapids, Michigan
Authorized Official Name and PositionDeborah M Mathesonnorthern (BILLING SPECIALIST)
Authorized Official Contact6169541518
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Reliance Community Care Partners
2100 Raybrook St Se Ste 203
Grand Rapids
MI 49546-5783

Ph: (616) 954-1518
Reliance Community Care Partners
2100 Raybrook St Se Ste 100
Grand Rapids
MI 49546-5782

Ph: (616) 954-1555

NPI Details:

NPI Number1861045775
Provider Enumeration Date07/19/2019
Last Update Date09/14/2021
Certification Date09/14/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8921268855
Medicare Enrollment IDO20120329000559

Medical Identifiers

Medical identifiers for Reliance Community Care Partners such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861045775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
2084P0805XPsychiatry & Neurology - Geriatric Psychiatry (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (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. Reliance Community Care Partners acts as a billing entity for following providers:
Provider NameKristen M Zoetewey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073911608
PECOS PAC ID: 5294749057
Enrollment ID: I20060131000844
Provider NameFredric A Reyelts
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1285687467
PECOS PAC ID: 9234133232
Enrollment ID: I20060906000217
Provider NameMargaret A Rose
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891869871
PECOS PAC ID: 0840384400
Enrollment ID: I20070913000627
Provider NameDeborah B Wagenaar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255315628
PECOS PAC ID: 5496811994
Enrollment ID: I20090309000333
Provider NameKathy Anne Myrkle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780975268
PECOS PAC ID: 2860679867
Enrollment ID: I20110531000256
Provider NameLauren M Guttersen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669713525
PECOS PAC ID: 6901035195
Enrollment ID: I20140211000701
Provider NameDonald J Curran
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922056746
PECOS PAC ID: 2961315031
Enrollment ID: I20140421001057
Provider NameGrace Rebecca Wenk
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316282023
PECOS PAC ID: 9335431949
Enrollment ID: I20160629002935
Provider NameAyesha S Syed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467809236
PECOS PAC ID: 0840582359
Enrollment ID: I20160701000737
Provider NameLara Mae Dengerink-vantil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679023501
PECOS PAC ID: 3971879875
Enrollment ID: I20171020000961
Provider NameDenise Marie Skonieczny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528404761
PECOS PAC ID: 5597023317
Enrollment ID: I20171227000556
Provider NameRebecca A Benjamin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265948400
PECOS PAC ID: 6901141746
Enrollment ID: I20181221002030

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.