Community Care Services | |
26184 W Outer Drive Lincoln Park MI 48146 | |
(313) 389-7525 | |
(313) 389-7515 |
Full Name | Community Care Services |
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Speciality | Clinic/Center |
Location | 26184 W Outer Drive, Lincoln Park, Michigan |
Authorized Official Name and Position | William P Walsh (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3133897525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Care Services 26184 W Outer Drive Lincoln Park MI 48146 Ph: (313) 389-7525 | Community Care Services 26184 W Outer Drive Lincoln Park MI 48146 Ph: (313) 389-7525 |
NPI Number | 1609844976 |
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Provider Enumeration Date | 03/10/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5799758942 |
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Medicare Enrollment ID | O20040816001041 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609844976 | NPI | - | NPPES |
6842 | Other | MIDWEST HEALTH PLAN | |
040397 | Other | VALUE OPTIONS | |
20710 | Other | BCBS | |
6322 | Other | CAPE HEALTH PLAN | |
6U4765 | Other | HEALTH ALLIANCE PLAN | |
P42560 | Other | BLUE CARE NETWORK | |
20709 | Other | BCBS | |
207711 | Other | BCBS | |
3119549 | Medicaid | MI |
Provider Name | Tae W Park |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538133020 PECOS PAC ID: 5799682704 Enrollment ID: I20031223000319 |
Provider Name | Timothy Lamar Chapman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023056199 PECOS PAC ID: 0244294957 Enrollment ID: I20041112000769 |
Provider Name | Hyun C Shin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336284504 PECOS PAC ID: 9830154251 Enrollment ID: I20041124000890 |
Provider Name | Debra L Beckman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609063510 PECOS PAC ID: 6901971837 Enrollment ID: I20080812000545 |
Provider Name | Yolanda D Giles |
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Provider Type | Practitioner - Neuropsychiatry |
Provider Identifiers | NPI Number: 1942382502 PECOS PAC ID: 1254408446 Enrollment ID: I20080930000689 |
Provider Name | Leonard F Field |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922119296 PECOS PAC ID: 9234300369 Enrollment ID: I20110922000128 |
Provider Name | Ellen O Robey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144346354 PECOS PAC ID: 2860635604 Enrollment ID: I20130827000573 |
Provider Name | Pamela E Stolz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083744460 PECOS PAC ID: 9436392032 Enrollment ID: I20130829000745 |
Provider Name | Latoshia L Baruti |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376736694 PECOS PAC ID: 0244473866 Enrollment ID: I20130829000906 |
Provider Name | Cheryl A Green |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831236660 PECOS PAC ID: 5890921076 Enrollment ID: I20131118000445 |
Provider Name | Charleitte Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972843126 PECOS PAC ID: 4284850025 Enrollment ID: I20140730002714 |
Provider Name | Kelly M Danielson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508192865 PECOS PAC ID: 2668795667 Enrollment ID: I20141224000319 |
Provider Name | Sarah A Moellenberg |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073894465 PECOS PAC ID: 5092012799 Enrollment ID: I20160323002123 |
Provider Name | Kevin W Rose |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245369057 PECOS PAC ID: 1850680604 Enrollment ID: I20160517002420 |
Provider Name | Gayle J Hatfield |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942416821 PECOS PAC ID: 4688962301 Enrollment ID: I20161013000299 |
Provider Name | Deangella R Simpson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700328135 PECOS PAC ID: 2365724838 Enrollment ID: I20170117002271 |
Provider Name | Therese A Muir |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275927980 PECOS PAC ID: 5193068211 Enrollment ID: I20190717002079 |
Provider Name | Stacy Goodpaster |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619016672 PECOS PAC ID: 8022343789 Enrollment ID: I20190717002386 |
Provider Name | Sara Callison |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154673564 PECOS PAC ID: 8325374911 Enrollment ID: I20190718003391 |
Provider Name | Molly Bato |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437600251 PECOS PAC ID: 6103255500 Enrollment ID: I20200407000263 |
Provider Name | Jaleesa Atkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093332546 PECOS PAC ID: 1052730306 Enrollment ID: I20201006001463 |
Provider Name | Daphnee Pierre Louis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043612997 PECOS PAC ID: 5597069955 Enrollment ID: I20210201000287 |
Western Wayne Southwest Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25650 Outer Dr, Lincoln Park, MI 48146 Phone: 313-383-1897 Fax: 313-383-6018 | |
And J Management Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1674 Leblanc St, Lincoln Park, MI 48146 Phone: 313-402-9257 | |
Shashi K Malik, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2176 Fort St, Lincoln Park, MI 48146 Phone: 313-381-0713 | |
Joseph A. George,md,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4006 Fort St, Lincoln Park, MI 48146 Phone: 313-386-3200 Fax: 313-388-3335 | |
Health One Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3022 Dix Hwy, Lincoln Park, MI 48146 Phone: 313-381-5674 Fax: 313-381-7224 | |
Oakman Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3755 Fort St, Lincoln Park, MI 48146 Phone: 313-908-1941 Fax: 313-908-9496 | |
Meridian Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25650 Outer Dr, Suite 400, Lincoln Park, MI 48146 Phone: 313-383-9400 Fax: 313-383-7163 |