| Alisha Peck-muma, LMSW | |
|
668 State St, Boyne City, MI 49712-9129 | |
| (231) 330-2303 | |
| Not Available |
| Full Name | Alisha Peck-muma |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 668 State St, Boyne City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043765662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801093891 (Michigan) | Primary |
| Entity Name | Alisha Peck, Lmsw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033847470 PECOS PAC ID: 1557883428 Enrollment ID: O20250320000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisha Peck-muma, LMSW 668 State St, Boyne City, MI 49712-9129 Ph: (231) 330-2303 | Alisha Peck-muma, LMSW 668 State St, Boyne City, MI 49712-9129 Ph: (231) 330-2303 |
Trudy Harbaum, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5 W Main St Unit 3, Boyne City, MI 49712 Phone: 231-881-5001 Fax: 231-344-6100 | |
Laura Elizabeth Jeffries, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 W Main St Unit 3, Boyne City, MI 49712 Phone: 231-881-5001 Fax: 231-344-6100 | |
Dr. Tammy Croy Mcmillian, PH.D., LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 701 S Park St, Boyne City, MI 49712 Phone: 231-582-0553 | |
Rebecca L Verville, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5 W Main St Unit 3, Boyne City, MI 49712 Phone: 231-881-5001 Fax: 231-344-6100 |