| University Of Michigan Health-sparrow St. Lawrence | |
|
1215 E Michigan Ave Lansing MI 48912-1811 | |
| (517) 364-7700 | |
| Not Available |
| Full Name | University Of Michigan Health-sparrow St. Lawrence |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1215 E Michigan Ave, Lansing, Michigan |
| Authorized Official Name and Position | Misty Russian (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Michigan Health-sparrow St. Lawrence 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 364-6000 | University Of Michigan Health-sparrow St. Lawrence 1215 E Michigan Ave Lansing MI 48912-1811 Ph: (517) 364-7700 |
| NPI Number | 1669431292 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 6709799166 |
|---|---|
| Medicare Enrollment ID | O20070222000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669431292 | NPI | - | NPPES |
| 200000000005 | Other | MI | PHP FAMILY CARE |
| 30-1557293 | Medicaid | MI | |
| 00025 | Other | MI | BLUE CROSS/BCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | PH-040/2005(2) (Michigan) | Primary |
Jonathon Novello Lmsw Acsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 E Mount Hope Ave, Lansing, MI 48910 Phone: 517-290-7011 | |
Quiet Sky Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2535 E Mount Hope Ave, Lansing, MI 48910 Phone: 989-214-4238 | |
Chance Happens Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15831 Brook Rd, Lansing, MI 48906 Phone: 309-648-1720 | |
Chosen & Anointed Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2708 Senate Dr Apt B101, Lansing, MI 48912 Phone: 517-927-3452 | |
Sparrow Behavioral Health - Social Workers Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1210 W Saginaw St, 2nd Floor, Lansing, MI 48915 Phone: 517-364-7700 Fax: 517-364-7701 | |
Psychological Associates In Rehabilitation Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3960 Patient Care Way, Suite 104, Lansing, MI 48911 Phone: 517-887-9801 Fax: 517-887-9826 | |
Ira Zachary Dyme Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2909 E Grand Riv, Suite 108, Lansing, MI 48912 Phone: 517-482-1111 Fax: 517-482-1119 |