| Tracey Sue Dore, | |
|
1108 S Van Dyke Rd, Bad Axe, MI 48413-9615 | |
| (989) 269-9293 | |
| (989) 269-6150 |
| Full Name | Tracey Sue Dore |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1108 S Van Dyke Rd, Bad Axe, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225277569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801087711 (Michigan) | Primary |
| Entity Name | Huron County Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659485514 PECOS PAC ID: 9739161373 Enrollment ID: O20040607000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Sue Dore, 1108 S Van Dyke Rd, Bad Axe, MI 48413-9615 Ph: (989) 269-9293 | Tracey Sue Dore, 1108 S Van Dyke Rd, Bad Axe, MI 48413-9615 Ph: (989) 269-9293 |
Trina Lynn Empkie, MSW, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 Fax: 989-269-7544 | |
Ms. Carmen Kaye Schantz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 | |
Ms. Laurie L Gillingham, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1115 S Van Dyke Rd Ste 1, Bad Axe, MI 48413 Phone: 810-689-4846 Fax: 810-958-1430 | |
Mrs. Andrea Marie Cleland, M.S.W, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 S Port Crescent St, Bad Axe, MI 48413 Phone: 989-269-5180 Fax: 989-269-5185 | |
Stacie A Johnson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1108 S Van Dyke, Bad Axe, MI 48413 Phone: 989-269-9293 Fax: 989-269-7455 | |
Kayla Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 |