| Michael Beaudoin, LMSW | |
|
500 Campus Dr, Hancock, MI 49930-1452 | |
| (906) 483-1060 | |
| (906) 483-1394 |
| Full Name | Michael Beaudoin |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 500 Campus Dr, Hancock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356713770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Copper Country Community Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881607497 PECOS PAC ID: 8426119256 Enrollment ID: O20081211000294 |
| Entity Name | Upper Great Lakes Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Beaudoin, LMSW 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 483-1130 | Michael Beaudoin, LMSW 500 Campus Dr, Hancock, MI 49930-1452 Ph: (906) 483-1060 |
Mrs. Kim Kathleen Green, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 787 Market Street, Hancock, MI 49930 Phone: 906-482-7762 Fax: 906-482-7893 | |
Mrs. Mary Katherine Van Camp, LMSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 787 Market St., Suites 9 & 10, Hancock, MI 49930 Phone: 906-482-7762 Fax: 906-482-7893 | |
Samantha Lucchesi Boatman, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230 | |
Ms. Amanda Jo White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Vivian St, Hancock, MI 49930 Phone: 406-437-2931 | |
Ms. Michelle Martin, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 Michigan St, Ste 327, Hancock, MI 49930 Phone: 906-231-1320 | |
Ms. Jayne Ann Fredrick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-483-1270 |