| James Mccann, | |
|
2481 N 72nd Ave, Hart, MI 49420-8008 | |
| (231) 873-2163 | |
| Not Available |
| Full Name | James Mccann |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2481 N 72nd Ave, Hart, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730530882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801095883 (Michigan) | Primary |
| Entity Name | Memorial Medical Center Of West Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647 |
| Mailing Address | Practice Location Address |
|---|---|
| James Mccann, 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | James Mccann, 2481 N 72nd Ave, Hart, MI 49420-8008 Ph: (231) 873-2163 |
Ann Marie Blacktop, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 611 E Main St, Hart, MI 49420 Phone: 231-873-5675 Fax: 231-873-4805 | |
Mrs. Jesse Marie Burke, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W Johnson Street, Hart, MI 49420 Phone: 231-873-0586 Fax: 616-554-5555 | |
Janelle Donjon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 E Main St, Hart, MI 49420 Phone: 231-873-6900 |