Reliance Community Care Partners | |
2100 Raybrook St Se Ste 100 Grand Rapids MI 49546-5782 | |
(616) 954-1555 | |
(616) 954-1520 |
Full Name | Reliance Community Care Partners |
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Speciality | Psychiatry & Neurology |
Location | 2100 Raybrook St Se Ste 100, Grand Rapids, Michigan |
Authorized Official Name and Position | Deborah M Mathesonnorthern (BILLING SPECIALIST) |
Authorized Official Contact | 6169541518 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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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 Number | 1861045775 |
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Provider Enumeration Date | 07/19/2019 |
Last Update Date | 09/14/2021 |
Certification Date | 09/14/2021 |
Medicare PECOS PAC ID | 8921268855 |
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Medicare Enrollment ID | O20120329000559 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861045775 | NPI | - | NPPES |
Provider Name | Kristen M Zoetewey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073911608 PECOS PAC ID: 5294749057 Enrollment ID: I20060131000844 |
Provider Name | Fredric A Reyelts |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1285687467 PECOS PAC ID: 9234133232 Enrollment ID: I20060906000217 |
Provider Name | Margaret A Rose |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891869871 PECOS PAC ID: 0840384400 Enrollment ID: I20070913000627 |
Provider Name | Deborah B Wagenaar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255315628 PECOS PAC ID: 5496811994 Enrollment ID: I20090309000333 |
Provider Name | Kathy Anne Myrkle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780975268 PECOS PAC ID: 2860679867 Enrollment ID: I20110531000256 |
Provider Name | Lauren M Guttersen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669713525 PECOS PAC ID: 6901035195 Enrollment ID: I20140211000701 |
Provider Name | Donald J Curran |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922056746 PECOS PAC ID: 2961315031 Enrollment ID: I20140421001057 |
Provider Name | Grace Rebecca Wenk |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316282023 PECOS PAC ID: 9335431949 Enrollment ID: I20160629002935 |
Provider Name | Ayesha S Syed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467809236 PECOS PAC ID: 0840582359 Enrollment ID: I20160701000737 |
Provider Name | Lara Mae Dengerink-vantil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679023501 PECOS PAC ID: 3971879875 Enrollment ID: I20171020000961 |
Provider Name | Denise Marie Skonieczny |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528404761 PECOS PAC ID: 5597023317 Enrollment ID: I20171227000556 |
Provider Name | Rebecca A Benjamin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265948400 PECOS PAC ID: 6901141746 Enrollment ID: I20181221002030 |
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