| Kellie Kroeger, | |
|
19805 Farmington Rd, Livonia, MI 48152-1444 | |
| (586) 846-0535 | |
| Not Available |
| Full Name | Kellie Kroeger |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 19805 Farmington Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013338821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090341 (Michigan) | Primary |
| Entity Name | Easterseals Morc Health Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376526616 PECOS PAC ID: 9830141670 Enrollment ID: O20050221000100 |
| Entity Name | Macomb Oakland Regional Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023199965 PECOS PAC ID: 9133039241 Enrollment ID: O20070221000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Kroeger, 19805 Farmington Rd, Livonia, MI 48152-1444 Ph: (248) 536-5085 | Kellie Kroeger, 19805 Farmington Rd, Livonia, MI 48152-1444 Ph: (586) 846-0535 |
Bushra Tayab, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150 Phone: 734-458-4601 Fax: 734-458-4611 | |
Robert Keith Graham, DCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17940 Farmington Rd, Suite 225, Livonia, MI 48152 Phone: 734-466-3311 | |
Anna Stocker, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16836 Newburgh Rd, Livonia, MI 48154 Phone: 734-464-4220 | |
Rebecca L Sherman, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17250 Farmington Rd, Livonia, MI 48152 Phone: 734-425-4070 Fax: 734-425-8350 | |
Mrs. Amanda Denise Glaze, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14100 Newburgh Rd, Livonia, MI 48154 Phone: 734-464-7810 | |
Mrs. Cortney Renee Bugar, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18316 Middlebelt Rd, Livonia, MI 48152 Phone: 248-615-9730 |