| Mr Michael Joseph Kristovic, LCSW | |
|
2652 Spring Arbor Rd, Jackson, MI 49203-3604 | |
| (312) 610-9552 | |
| Not Available |
| Full Name | Mr Michael Joseph Kristovic |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2652 Spring Arbor Rd, Jackson, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518254614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.013791 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801099286 (Michigan) | Primary |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326078866 PECOS PAC ID: 0244136067 Enrollment ID: O20031215000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Joseph Kristovic, LCSW 2652 Spring Arbor Rd, Jackson, MI 49203-3604 Ph: (312) 610-9552 | Mr Michael Joseph Kristovic, LCSW 2652 Spring Arbor Rd, Jackson, MI 49203-3604 Ph: (312) 610-9552 |
Mrs. Linda Belcher, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9354 Lee Rd, Jackson, MI 49201 Phone: 517-796-4559 | |
Karen Lizeth Hernandez Martinez, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5444 | |
Bonnie Kae-macduff Holiday, LMSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2301 E Michigan Ave, Suite 107, Jackson, MI 49202 Phone: 517-784-3730 Fax: 517-764-4596 | |
Barbara O'connor, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Michigan Ave, Jackson, MI 49201 Phone: 517-783-2732 Fax: 517-783-2359 | |
Karalee Marie Mills, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1206 Clinton Rd, Jackson, MI 49202 Phone: 517-783-4150 | |
Ingrid Sekhon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 W Monroe St, Suite 500, Jackson, MI 49202 Phone: 517-788-8330 | |
Kathleen Patricia Mahoney, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4730 Fax: 517-788-4701 |