| Derrick O Harris, MSW | |
|
5331 Plymouth Rd, Ann Arbor, MI 48105-9520 | |
| (734) 996-9111 | |
| (734) 996-1950 |
| Full Name | Derrick O Harris |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 35 Years |
| Location | 5331 Plymouth Rd, Ann Arbor, 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 |
|---|---|---|---|
| 1417960030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6801063325 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Behavioral Care Of Colorado, P.c. | 0941648463 | 150 |
| Entity Name | Heron Ridge Associates Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013187541 PECOS PAC ID: 2961303573 Enrollment ID: O20040116000532 |
| Entity Name | Optum Behavioral Care Of Colorado, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306616735 PECOS PAC ID: 0941648463 Enrollment ID: O20240412001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick O Harris, MSW 5331 Plymouth Rd, Ann Arbor, MI 48105-9520 Ph: (734) 996-9111 | Derrick O Harris, MSW 5331 Plymouth Rd, Ann Arbor, MI 48105-9520 Ph: (734) 996-9111 |
Ms. Robin Dawn Edison, MED, LPC, NCC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5656 Le Blanc Ave, Ann Arbor, MI 48103 Phone: 248-520-0880 | |
Maia Warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Packard St Ste 270, Ann Arbor, MI 48108 Phone: 734-995-6755 | |
Samantha Schwartz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 Maynard St, Ann Arbor, MI 48104 Phone: 412-527-9128 | |
Erin Christina Egan, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2500 Packard St Ste 104a, Ann Arbor, MI 48104 Phone: 734-707-1052 Fax: 734-661-1887 | |
Mrs. Christine Ponce Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Packard St, Suite 220, Ann Arbor, MI 48108 Phone: 734-477-9999 Fax: 734-477-0955 | |
Erin E Bultema, Counselor Medicare: Medicare Enrolled Practice Location: 727 Miller Ave, Ann Arbor, MI 48103 Phone: 734-209-3727 | |
Dr. Robert Michael Ortega, MSW, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 S. Forest, Ann Arbor, MI 48104 Phone: 734-763-6576 Fax: 734-763-3372 |