| St. Joseph Mercy Chelsea | |
|
775 S Main St Chelsea MI 48118-1370 | |
| (734) 475-6914 | |
| (734) 475-7549 |
| Full Name | St. Joseph Mercy Chelsea |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 775 S Main St, Chelsea, Michigan |
| Authorized Official Name and Position | Michael Gusho (REGIONAL CFO SE MI) |
| Authorized Official Contact | 7343980642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Mercy Chelsea 34505 W 12 Mile Rd Ste 200 Farmington Hills MI 48331-3286 Ph: (743) 343-3922 | St. Joseph Mercy Chelsea 775 S Main St Chelsea MI 48118-1370 Ph: (734) 475-6914 |
| NPI Number | 1912947409 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 11/08/2017 |
| Medicare PECOS PAC ID | 0648171074 |
|---|---|
| Medicare Enrollment ID | O20040119000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912947409 | NPI | - | NPPES |
| 260H161260 | Other | MI | BCBCM GROUP PIN |
| Provider Name | Ellen R Fabes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972777456 PECOS PAC ID: 8921089707 Enrollment ID: I20040527000289 |
| Provider Name | Robert Matthew Fields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154358463 PECOS PAC ID: 2961484852 Enrollment ID: I20040603001318 |
| Provider Name | Dana A Bowers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972654572 PECOS PAC ID: 3971580192 Enrollment ID: I20040706000503 |
| Provider Name | Todd Beel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033153291 PECOS PAC ID: 8325028814 Enrollment ID: I20040723001179 |
| Provider Name | Ann M Hess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598709610 PECOS PAC ID: 3173599131 Enrollment ID: I20040909001306 |
| Provider Name | Michael G Mikhail |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538102793 PECOS PAC ID: 9739156183 Enrollment ID: I20040914001226 |
| Provider Name | David Kaisler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376571240 PECOS PAC ID: 8224006531 Enrollment ID: I20040923000418 |
| Provider Name | Julie A Chappel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831156405 PECOS PAC ID: 3971564873 Enrollment ID: I20041025000183 |
| Provider Name | Angela M Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881672970 PECOS PAC ID: 2769437318 Enrollment ID: I20050316000418 |
| Provider Name | Robert Mccurdy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851334924 PECOS PAC ID: 5597790402 Enrollment ID: I20050929000411 |
| Provider Name | Jennifer W Collin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578656781 PECOS PAC ID: 6901880640 Enrollment ID: I20051007000862 |
| Provider Name | Deborah Sue Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770675290 PECOS PAC ID: 3375560139 Enrollment ID: I20051031000872 |
| Provider Name | Syed Kazmi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053356014 PECOS PAC ID: 1951329135 Enrollment ID: I20051107000109 |
| Provider Name | Virginia Cotton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851360267 PECOS PAC ID: 9537189360 Enrollment ID: I20051123000037 |
| Provider Name | Brian L Schapiro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710956123 PECOS PAC ID: 4789604513 Enrollment ID: I20051123000048 |
| Provider Name | Bobbi L Jorkos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538160296 PECOS PAC ID: 1052335544 Enrollment ID: I20060124000213 |
| Provider Name | Steven A Yarows |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275532087 PECOS PAC ID: 4880618370 Enrollment ID: I20060124000288 |
| Provider Name | Vita V Mccabe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932125986 PECOS PAC ID: 7911917091 Enrollment ID: I20060503000792 |
| Provider Name | Robert Waller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326097809 PECOS PAC ID: 8628083946 Enrollment ID: I20060508000719 |
| Provider Name | James A Ramirez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003867946 PECOS PAC ID: 4981615499 Enrollment ID: I20060518000023 |
| Provider Name | Joseph Wylie Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649283839 PECOS PAC ID: 7810993870 Enrollment ID: I20061013000485 |
| Provider Name | Sarah Lyn Holda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376653303 PECOS PAC ID: 8022017516 Enrollment ID: I20061211000372 |
| Provider Name | Christopher Robert Newton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851334080 PECOS PAC ID: 8426152489 Enrollment ID: I20070330000343 |
| Provider Name | Stuart Chalin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285778126 PECOS PAC ID: 5991801292 Enrollment ID: I20070503000051 |
| Provider Name | Rafina Khateeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508999657 PECOS PAC ID: 1759489453 Enrollment ID: I20070604000537 |
| Provider Name | Judith R Gentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821149725 PECOS PAC ID: 6204926074 Enrollment ID: I20071217000502 |
| Provider Name | David A Renken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639110380 PECOS PAC ID: 3375628662 Enrollment ID: I20080311000503 |
| Provider Name | Martin P Gleespen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275567828 PECOS PAC ID: 8628155413 Enrollment ID: I20080403000128 |
| Provider Name | Stefanie A Simmons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689792442 PECOS PAC ID: 8820169808 Enrollment ID: I20080618000691 |
| Provider Name | Vineet Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144289679 PECOS PAC ID: 2567497381 Enrollment ID: I20080715000875 |
| Provider Name | Christina N Bruns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821116773 PECOS PAC ID: 8921171430 Enrollment ID: I20080716000666 |
| Provider Name | Sharon K Gauthier |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649327040 PECOS PAC ID: 0143395780 Enrollment ID: I20080818000184 |
| Provider Name | Janet Marie Schlaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366515181 PECOS PAC ID: 3971670290 Enrollment ID: I20080927000225 |
| Provider Name | Matthew James Wasco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063635274 PECOS PAC ID: 1254499213 Enrollment ID: I20081021000804 |
| Provider Name | David Andrew Bozaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891906939 PECOS PAC ID: 5698835346 Enrollment ID: I20081125000541 |
| Provider Name | Stewart M Knoepp |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033300454 PECOS PAC ID: 5496818916 Enrollment ID: I20090109000444 |
| Provider Name | Brett M Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265551915 PECOS PAC ID: 3274696356 Enrollment ID: I20090115000544 |
| Provider Name | Rebecca L Prepejchal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144348038 PECOS PAC ID: 4587716279 Enrollment ID: I20090709000686 |
| Provider Name | Kent W Collin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992822506 PECOS PAC ID: 4082760608 Enrollment ID: I20090923000806 |
| Provider Name | Stacey L Herbster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457323925 PECOS PAC ID: 6709785009 Enrollment ID: I20091109000093 |
| Provider Name | Traci Wilson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1750304291 PECOS PAC ID: 2466593603 Enrollment ID: I20100109000180 |
| Provider Name | Natalia Galkine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518177450 PECOS PAC ID: 5698803864 Enrollment ID: I20100507000704 |
| Provider Name | John P Erpelding |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952338261 PECOS PAC ID: 0345379483 Enrollment ID: I20100527000304 |
| Provider Name | James C Mitchiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447293667 PECOS PAC ID: 4385773449 Enrollment ID: I20100527000517 |
| Provider Name | Neal Little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346278371 PECOS PAC ID: 1658401401 Enrollment ID: I20100604001024 |
| Provider Name | Robert M Carruthers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306888458 PECOS PAC ID: 2961533666 Enrollment ID: I20100624000324 |
| Provider Name | Susan Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831136944 PECOS PAC ID: 2163554270 Enrollment ID: I20100723000914 |
| Provider Name | Robert M Domeier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417984733 PECOS PAC ID: 0547293938 Enrollment ID: I20100927000529 |
| Provider Name | Geetika Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386681039 PECOS PAC ID: 3971795279 Enrollment ID: I20101005000757 |
| Provider Name | Joseph A Tworek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770524712 PECOS PAC ID: 9133315740 Enrollment ID: I20101122000985 |
| Provider Name | Sarah R Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033279369 PECOS PAC ID: 2567641061 Enrollment ID: I20110131000540 |
| Provider Name | Daniel C Mcgillicuddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487691671 PECOS PAC ID: 0941226344 Enrollment ID: I20110304000683 |
| Provider Name | Gregory Gafni Pappas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881890440 PECOS PAC ID: 9739359985 Enrollment ID: I20110826000396 |
| Provider Name | Marc A Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710920939 PECOS PAC ID: 5799956033 Enrollment ID: I20110919000381 |
| Provider Name | Frank W Pavlovcic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629089230 PECOS PAC ID: 5193999787 Enrollment ID: I20111116000597 |
| Provider Name | Etienne V Dehoorne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972654267 PECOS PAC ID: 4688836026 Enrollment ID: I20120502000060 |
| Provider Name | Kevin M Kuzia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407022593 PECOS PAC ID: 1951442144 Enrollment ID: I20120612000648 |
| Provider Name | Courtney S Lim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346402799 PECOS PAC ID: 4789840687 Enrollment ID: I20120720000574 |
| Provider Name | Jessie E King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760793335 PECOS PAC ID: 6204070808 Enrollment ID: I20130923000126 |
| Provider Name | Nicole R Seleno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326272238 PECOS PAC ID: 2860646411 Enrollment ID: I20131003000453 |
| Provider Name | Laura K Reese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609003664 PECOS PAC ID: 9032346911 Enrollment ID: I20131221000176 |
| Provider Name | Kathryn A Volz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184884744 PECOS PAC ID: 5092992297 Enrollment ID: I20140327001136 |
| Provider Name | Joel B Krauss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093009409 PECOS PAC ID: 0749434678 Enrollment ID: I20140507000498 |
| Provider Name | John D Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336227107 PECOS PAC ID: 8527241728 Enrollment ID: I20140710000402 |
| Provider Name | Anna Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164747911 PECOS PAC ID: 8729258827 Enrollment ID: I20140718001621 |
| Provider Name | David M Devellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851616197 PECOS PAC ID: 6305063652 Enrollment ID: I20140808001860 |
| Provider Name | Gerald S Winder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649581828 PECOS PAC ID: 7517283583 Enrollment ID: I20150310001820 |
| Provider Name | Adam L Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760741516 PECOS PAC ID: 5698096972 Enrollment ID: I20150611002788 |
| Provider Name | Alan M Sielaff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679837801 PECOS PAC ID: 8123271566 Enrollment ID: I20150713000904 |
| Provider Name | Jason Sean Sugden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093187353 PECOS PAC ID: 7618278086 Enrollment ID: I20151209002350 |
| Provider Name | Shanti Renee Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467715110 PECOS PAC ID: 4082921044 Enrollment ID: I20160616001275 |
| Provider Name | Bradley L Stilger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255690053 PECOS PAC ID: 2466762893 Enrollment ID: I20160627002412 |
| Provider Name | James F Skiba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568781664 PECOS PAC ID: 8426201385 Enrollment ID: I20160706002114 |
| Provider Name | Michael D Susalla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780942680 PECOS PAC ID: 4981910551 Enrollment ID: I20160706002237 |
| Provider Name | Anna M Arroyo Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861602906 PECOS PAC ID: 6002954377 Enrollment ID: I20160712000751 |
| Provider Name | Allen A Majkrzak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245594951 PECOS PAC ID: 3870742968 Enrollment ID: I20160713001387 |
| Provider Name | Ryan M Silwanowicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417218074 PECOS PAC ID: 0648580076 Enrollment ID: I20160715002166 |
| Provider Name | Ruby Marr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952644700 PECOS PAC ID: 6305139650 Enrollment ID: I20160725000068 |
| Provider Name | Nauman A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740690023 PECOS PAC ID: 5193941334 Enrollment ID: I20160901001967 |
| Provider Name | Rebecca A Otten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013355353 PECOS PAC ID: 6305168451 Enrollment ID: I20160906000417 |
| Provider Name | Laura E Andersen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225478985 PECOS PAC ID: 7214247360 Enrollment ID: I20161011001962 |
| Provider Name | Ryan Timothy Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902165699 PECOS PAC ID: 3577870567 Enrollment ID: I20161011001978 |
| Provider Name | Jonathan T Snashall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942446539 PECOS PAC ID: 6507021417 Enrollment ID: I20161129000941 |
| Provider Name | Adrienne Saxton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649546763 PECOS PAC ID: 0648580779 Enrollment ID: I20170707002225 |
| Provider Name | Brendan W Munzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285072538 PECOS PAC ID: 6305149386 Enrollment ID: I20170713000536 |
| Provider Name | Jonathan T Sebolt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659784734 PECOS PAC ID: 5294952123 Enrollment ID: I20170713003105 |
| Provider Name | Michael T Monticciolo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689914954 PECOS PAC ID: 5294035515 Enrollment ID: I20170717001765 |
| Provider Name | Bilal Ali Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104236637 PECOS PAC ID: 4284922964 Enrollment ID: I20170726000342 |
| Provider Name | Soumya Rangarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467795856 PECOS PAC ID: 5890014302 Enrollment ID: I20170908002934 |
| Provider Name | Jonathan G Dunlop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659784791 PECOS PAC ID: 5597075630 Enrollment ID: I20170929003137 |
| Provider Name | Ferdnand Chisom Osuagwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336551738 PECOS PAC ID: 7214235498 Enrollment ID: I20171013002282 |
| Provider Name | Holly E Gist-richer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275906091 PECOS PAC ID: 6507168887 Enrollment ID: I20171221002423 |
| Provider Name | Pamela S Fairchild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801020920 PECOS PAC ID: 2961702014 Enrollment ID: I20180118002300 |
| Provider Name | Evan M Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487071528 PECOS PAC ID: 1052616992 Enrollment ID: I20180606000095 |
| Provider Name | Daniel L Giesler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922397751 PECOS PAC ID: 4587880950 Enrollment ID: I20180626002436 |
| Provider Name | Eric T Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477968949 PECOS PAC ID: 6709182827 Enrollment ID: I20180703001721 |
| Provider Name | Neelakanta Atkuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902213424 PECOS PAC ID: 6406102961 Enrollment ID: I20180713000717 |
| Provider Name | Zachary Boltwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780064410 PECOS PAC ID: 3577874007 Enrollment ID: I20180713000835 |
| Provider Name | Janice L Ruggles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851807879 PECOS PAC ID: 3577811165 Enrollment ID: I20180730000767 |
| Provider Name | Meghana Injam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821483181 PECOS PAC ID: 5092010009 Enrollment ID: I20180918000912 |
| Provider Name | Saeeda Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023490968 PECOS PAC ID: 0840590881 Enrollment ID: I20181001003258 |
| Provider Name | Margaret Kantola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598242463 PECOS PAC ID: 9537411798 Enrollment ID: I20181016003589 |
| Provider Name | Paul S Caseley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609289503 PECOS PAC ID: 8224317938 Enrollment ID: I20181107000864 |
| Provider Name | Rachel Fuentes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366801201 PECOS PAC ID: 3375838972 Enrollment ID: I20181210002606 |
| Provider Name | Jessie N Rice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093135121 PECOS PAC ID: 9436441276 Enrollment ID: I20181214001538 |
| Provider Name | Jennie H Quaine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699157339 PECOS PAC ID: 1355651415 Enrollment ID: I20181214002820 |
| Provider Name | Kelly Frederick-castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871630681 PECOS PAC ID: 8325387699 Enrollment ID: I20190304001992 |
| Provider Name | Aazam S Haleem |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154770337 PECOS PAC ID: 1052644572 Enrollment ID: I20190614000474 |
| Provider Name | Zachary S Steffes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417310434 PECOS PAC ID: 6406189927 Enrollment ID: I20190614000531 |
| Provider Name | Jennifer Baumhauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578919155 PECOS PAC ID: 7416248208 Enrollment ID: I20190715003102 |
| Provider Name | Owen Randall Albin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629414628 PECOS PAC ID: 7214237049 Enrollment ID: I20190719001961 |
| Provider Name | Nicholas G Morcos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942613807 PECOS PAC ID: 8527378652 Enrollment ID: I20190809000804 |
| Provider Name | Jessica Wummel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992186951 PECOS PAC ID: 1951639780 Enrollment ID: I20190819000556 |
| Provider Name | Andrew Joseph Leblanc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700233152 PECOS PAC ID: 1052602836 Enrollment ID: I20190828000785 |
| Provider Name | Mohammed Uzair Admani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760860563 PECOS PAC ID: 9739474552 Enrollment ID: I20190903002484 |
| Provider Name | Julie Barrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235510256 PECOS PAC ID: 4284940925 Enrollment ID: I20190905000063 |
| Provider Name | Linda Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518348697 PECOS PAC ID: 8224340500 Enrollment ID: I20190910001099 |
| Provider Name | Amanda Connon |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1144505744 PECOS PAC ID: 9335479328 Enrollment ID: I20190917003275 |
| Provider Name | Jeremy Meir Baruch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205366580 PECOS PAC ID: 8921376526 Enrollment ID: I20190923001050 |
| Provider Name | Matthew Macias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992158422 PECOS PAC ID: 4486948114 Enrollment ID: I20200122002260 |
| Provider Name | Kahli Elizabeth Zietlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972923936 PECOS PAC ID: 2264869452 Enrollment ID: I20200228000378 |
| Provider Name | Marcus Calderon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639600885 PECOS PAC ID: 6901237643 Enrollment ID: I20200512003145 |
| Provider Name | Lauren Elise Krowl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295122844 PECOS PAC ID: 9931457116 Enrollment ID: I20200529001895 |
| Provider Name | Sarina Meikle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972032274 PECOS PAC ID: 5991074254 Enrollment ID: I20200610000411 |
| Provider Name | Charles Siedlecki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588023113 PECOS PAC ID: 6103192166 Enrollment ID: I20200612002001 |
| Provider Name | Timothy M Hanley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851750111 PECOS PAC ID: 0749578532 Enrollment ID: I20200625002225 |
| Provider Name | Jacob Mack |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992234462 PECOS PAC ID: 1557630746 Enrollment ID: I20200626000204 |
| Provider Name | Natalia Arana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730610528 PECOS PAC ID: 1850661570 Enrollment ID: I20200626000515 |
| Provider Name | Blake Haller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780112318 PECOS PAC ID: 5799054953 Enrollment ID: I20200629002356 |
| Provider Name | Zachary J Jarou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992123715 PECOS PAC ID: 2466753306 Enrollment ID: I20200713000220 |
| Provider Name | Daniel J Lautenbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336672740 PECOS PAC ID: 0042589707 Enrollment ID: I20200805000562 |
| Provider Name | Brittany A Hammond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154854420 PECOS PAC ID: 5698045292 Enrollment ID: I20200806000697 |
| Provider Name | Elizabeth A Block |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457693855 PECOS PAC ID: 3072823137 Enrollment ID: I20201007000569 |
| Provider Name | Barbra Mazie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154595627 PECOS PAC ID: 7113338823 Enrollment ID: I20201202001324 |
| Provider Name | Virginia Oemke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265499974 PECOS PAC ID: 4385055094 Enrollment ID: I20201202001431 |
| Provider Name | Marshall Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982182259 PECOS PAC ID: 9234545161 Enrollment ID: I20210301002145 |
| Provider Name | Mary Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306019732 PECOS PAC ID: 8527475219 Enrollment ID: I20210324002782 |
| Provider Name | Ebony Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780180786 PECOS PAC ID: 3375806714 Enrollment ID: I20210329001637 |
| Provider Name | Michael J Duhaime |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912436916 PECOS PAC ID: 0547538506 Enrollment ID: I20210409000667 |
| Provider Name | Daniel R Micheller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831537182 PECOS PAC ID: 9931402898 Enrollment ID: I20210412000689 |
| Provider Name | Christopher Lawrence Kline |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467958033 PECOS PAC ID: 2961766951 Enrollment ID: I20210416000477 |
| Provider Name | Carrie M Tamarelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740786359 PECOS PAC ID: 6800150764 Enrollment ID: I20210420002561 |
| Provider Name | Abigail Erinc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740774462 PECOS PAC ID: 4587910591 Enrollment ID: I20210511003049 |
| Provider Name | Michael Dias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831683556 PECOS PAC ID: 8527314525 Enrollment ID: I20210511003105 |
| Provider Name | Ben Ayotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750815817 PECOS PAC ID: 5799058160 Enrollment ID: I20210608002402 |
| Provider Name | Jonathan D Porath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407348642 PECOS PAC ID: 2860748266 Enrollment ID: I20210614000303 |
| Provider Name | Lars Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619461928 PECOS PAC ID: 6800142803 Enrollment ID: I20210615002633 |
| Provider Name | Noah Boton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033603758 PECOS PAC ID: 1658627666 Enrollment ID: I20210630003415 |
| Provider Name | Joy Mulrath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316111750 PECOS PAC ID: 1850794579 Enrollment ID: I20210719002669 |
| Provider Name | Naomi Ayla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548861966 PECOS PAC ID: 4385049022 Enrollment ID: I20210818004142 |
| Provider Name | Andrea Poma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871984955 PECOS PAC ID: 5092110676 Enrollment ID: I20210819001607 |
| Provider Name | Cathleen Virginia Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619220894 PECOS PAC ID: 1951694397 Enrollment ID: I20210820001340 |
| Provider Name | Matthew Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992165633 PECOS PAC ID: 5991196180 Enrollment ID: I20211223000121 |
| Provider Name | Dominic Misiak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164982328 PECOS PAC ID: 6709117013 Enrollment ID: I20220113000617 |
| Provider Name | Katherine E Kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912246174 PECOS PAC ID: 0244457240 Enrollment ID: I20220118001501 |
| Provider Name | David C Flood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366820466 PECOS PAC ID: 9537463443 Enrollment ID: I20220120001527 |
| Provider Name | Anne Phan-huy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679079230 PECOS PAC ID: 6901161801 Enrollment ID: I20220203000094 |
| Provider Name | Amy Joann Beauchamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689137911 PECOS PAC ID: 4082955299 Enrollment ID: I20220427000484 |
| Provider Name | Rudy Westfall Wenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760043582 PECOS PAC ID: 4688908163 Enrollment ID: I20220517002618 |
| Provider Name | Katherine Salisbury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003307034 PECOS PAC ID: 3476809088 Enrollment ID: I20220523001841 |
| Provider Name | Thomas O'callaghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265926331 PECOS PAC ID: 7113273129 Enrollment ID: I20220523001861 |
| Provider Name | Lily Sung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144780370 PECOS PAC ID: 9133453855 Enrollment ID: I20220602003083 |
| Provider Name | Chelsea Liane Loji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790305167 PECOS PAC ID: 4688005523 Enrollment ID: I20220713001823 |
| Provider Name | Raya N Bani Kenana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003476045 PECOS PAC ID: 3870824626 Enrollment ID: I20220805000407 |
| Provider Name | Kelsey Grace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821595091 PECOS PAC ID: 1153677547 Enrollment ID: I20220810002475 |
| Provider Name | Bailey Fay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104489350 PECOS PAC ID: 8426390790 Enrollment ID: I20220915000898 |
| Provider Name | Seth Rowles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104448687 PECOS PAC ID: 9032587597 Enrollment ID: I20221115001703 |
| Provider Name | Matthew J Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336708981 PECOS PAC ID: 6305171075 Enrollment ID: I20230705000512 |
| Provider Name | Catherine Eve Vogt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407319734 PECOS PAC ID: 5890038897 Enrollment ID: I20230707000910 |
| Provider Name | Adam Azar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154946481 PECOS PAC ID: 3870916059 Enrollment ID: I20230807002167 |
| Provider Name | Mark Kluk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023499050 PECOS PAC ID: 3971808254 Enrollment ID: I20230831001117 |
| Provider Name | Carrie Batyik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285752584 PECOS PAC ID: 3971952458 Enrollment ID: I20231208002085 |
| Provider Name | Sinan Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780262899 PECOS PAC ID: 3274999313 Enrollment ID: I20240429000115 |
Namaste Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 N Main St, Suite 11, Chelsea, MI 48118 Phone: 734-231-0659 | |
Mirecovery Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Main St Ste 6, Chelsea, MI 48118 Phone: 734-904-3659 | |
Timber Creek Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14800 E Old Us Highway 12, Chelsea, MI 48118 Phone: 734-719-0380 | |
Ellen Fabes Lmsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 N Main St Ste 11, Chelsea, MI 48118 Phone: 734-237-9500 | |
Insync Online Psychotherapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 325 Wilkinson St Apt 313, Chelsea, MI 48118 Phone: 517-324-0519 | |
Grace Behavioral Health Of Michigan Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 134 W Middle St Ste I, Chelsea, MI 48118 Phone: 248-491-8840 Fax: 248-592-7240 | |
Blue Healing Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Summit St, Chelsea, MI 48118 Phone: 734-546-3294 |