| Bryan Blattert, | |
|
1199 Harris Ave, Tawas City, MI 48763-9681 | |
| (198) 936-2863 | |
| (989) 326-8636 |
| Full Name | Bryan Blattert |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1199 Harris Ave, Tawas 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 |
|---|---|---|---|
| 1396210753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6802090077 (Michigan) | Primary |
| Entity Name | Arrowhead Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235709098 PECOS PAC ID: 2163825498 Enrollment ID: O20210726000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Blattert, 1199 Harris Ave, Tawas City, MI 48763-9681 Ph: (198) 936-2863 | Bryan Blattert, 1199 Harris Ave, Tawas City, MI 48763-9681 Ph: (198) 936-2863 |
Jamily Axline, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 Harris Ave, Tawas City, MI 48764 Phone: 989-362-8636 | |
Thomas James Tripi, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 | |
Alison Hollies, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 W Lake St, Tawas City, MI 48763 Phone: 989-305-1426 | |
Teresa Diane Tokarczyk, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 | |
Joshua James Chrivia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 | |
Mrs. Karen Bogan Wright, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 | |
Laura Lynn Kauffman, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 |