| Amanda Koon, | |
|
2198 Us 31 S, Manistee, MI 49660-9618 | |
| (231) 655-3146 | |
| Not Available |
| Full Name | Amanda Koon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2198 Us 31 S, Manistee, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124706130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Manistee Benzie Community Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063581205 PECOS PAC ID: 1850385329 Enrollment ID: O20040408001362 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Koon, 2198 Us 31 S, Manistee, MI 49660-9618 Ph: Not Available | Amanda Koon, 2198 Us 31 S, Manistee, MI 49660-9618 Ph: (231) 655-3146 |
Chantelle Heniser, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2198 Us 31 S, Manistee, MI 49660 Phone: 877-398-2013 |
Roxsanna Stenuis, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 395 3rd St, Manistee, MI 49660 Phone: 877-398-2013 |
Karen Streeter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2198 Us 31 S, Manistee, MI 49660 Phone: 231-655-3146 |
Gail L Mccormick, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 395 3rd St, Manistee, MI 49660 Phone: 231-309-1811 |
Christine Marie Walton, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 395 3rd St, Manistee, MI 49660 Phone: 877-398-2013 Fax: 231-723-1735 |
Dawn M Madsen, LMSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 72 Filer St, Manistee, MI 49660 Phone: 231-397-1903 |
Janeen Codden, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2198 Us 31 S, Manistee, MI 49660 Phone: 877-398-2013 |