| River's Bend, P.c. | |
|
850 Stephenson Hwy Ste 210 Troy MI 48083-1151 | |
| (248) 585-3239 | |
| (248) 616-9759 |
| Full Name | River's Bend, P.c. |
|---|---|
| Speciality | Counselor |
| Location | 850 Stephenson Hwy Ste 210, Troy, Michigan |
| Authorized Official Name and Position | Amy Lee Buchanan (BUSINESS MANAGER) |
| Authorized Official Contact | 2485853239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River's Bend, P.c. 33975 Dequindre Rd Ste 5 Troy MI 48083-4649 Ph: (248) 585-3239 | River's Bend, P.c. 850 Stephenson Hwy Ste 210 Troy MI 48083-1151 Ph: (248) 585-3239 |
| NPI Number | 1265520209 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 1052302874 |
|---|---|
| Medicare Enrollment ID | O20040526000958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265520209 | NPI | - | NPPES |
| Provider Name | Aloha A Vancamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437221934 PECOS PAC ID: 3072508597 Enrollment ID: I20040415000566 |
| Provider Name | Bruce E Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336297449 PECOS PAC ID: 3476571696 Enrollment ID: I20051107000456 |
| Provider Name | Karen J Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760608517 PECOS PAC ID: 5193811594 Enrollment ID: I20071017000178 |
| Provider Name | Paul I Kowalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326403411 PECOS PAC ID: 6103183181 Enrollment ID: I20171129001641 |
| Provider Name | Jessica Lynn Hillen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609126697 PECOS PAC ID: 1153701446 Enrollment ID: I20220705000581 |
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