Mark Mcmillan, LMSW | |
800 Hilton Rd Ste 1, Ferndale, MI 48220-2505 | |
(248) 907-0247 | |
(248) 282-5350 |
Full Name | Mark Mcmillan |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 800 Hilton Rd Ste 1, Ferndale, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053787457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801097650 (Michigan) | Primary |
Entity Name | Mcmillan Behavioral Health And Addiction Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962972349 PECOS PAC ID: 8224379979 Enrollment ID: O20190408001495 |
Mailing Address | Practice Location Address |
---|---|
Mark Mcmillan, LMSW 800 Hilton Rd Ste 1, Ferndale, MI 48220-2505 Ph: (248) 907-0247 | Mark Mcmillan, LMSW 800 Hilton Rd Ste 1, Ferndale, MI 48220-2505 Ph: (248) 907-0247 |
Shelby Jacquemain, LMSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3138 Hilton Rd, Ferndale, MI 48220 Phone: 248-232-2555 | |
Taylor Bryant, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23231 Woodward Ave, Ferndale, MI 48220 Phone: 248-581-8777 | |
Kelsie Marissa Thorne, M.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 W 9 Mile Rd, Ferndale, MI 48220 Phone: 732-986-7513 | |
Spencer Graye Genrich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23231 Woodward Ave, Ferndale, MI 48220 Phone: 248-581-8777 | |
Matthew Daniel Clinton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1603 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-716-0690 | |
Deanna Marie Widenhofer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10300 W 8 Mile Rd, Ferndale, MI 48220 Phone: 248-691-4828 |