| Mr John Michael Gagnon, LMSW, CAC II | |
|
610 S Lincoln Rd, Escanaba, MI 49829-1215 | |
| (906) 786-6488 | |
| (906) 786-6409 |
| Full Name | Mr John Michael Gagnon |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 40 Years |
| Location | 610 S Lincoln Rd, Escanaba, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295715480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801057230 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Psychiatric Center Inc | 4486551058 | 78 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376649509 PECOS PAC ID: 8820900749 Enrollment ID: O20061218000510 |
| Entity Name | Bellin Psychiatric Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801150206 PECOS PAC ID: 4486551058 Enrollment ID: O20121222000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Michael Gagnon, LMSW, CAC II Po Box 22040, Green Bay, WI 54305-2040 Ph: (920) 445-7222 | Mr John Michael Gagnon, LMSW, CAC II 610 S Lincoln Rd, Escanaba, MI 49829-1215 Ph: (906) 786-6488 |
Jennifer Brandt, LMSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3409 Ludington St Ste 103, Escanaba, MI 49829 Phone: 906-789-4040 Fax: 906-789-4044 | |
Mrs. Barbara J Laughbaum, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 College Ave, Escanaba, MI 49829 Phone: 906-233-1236 Fax: 906-233-1235 | |
Ann Elizabeth Micheletti, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 7th Ave S, Suite 100, Escanaba, MI 49829 Phone: 906-233-1322 Fax: 906-233-1220 | |
Deborah Darmogray, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2500 7th Ave S, Suite 100, Escanaba, MI 49829 Phone: 906-233-1214 | |
Jodi Larson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 S 25th St Ste B, Escanaba, MI 49829 Phone: 906-233-1848 Fax: 906-233-9310 | |
Carmen S Kleikamp, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2500 7th Ave S, Suite 100, Escanaba, MI 49829 Phone: 906-233-1322 Fax: 906-233-1220 | |
Justine Elizabeth Thompson, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 College Ave, Escanaba, MI 49829 Phone: 906-233-1322 Fax: 906-233-1220 |