| Jay Skaggs, | |
|
140 Michigan Ave W, Battle Creek, MI 49017-3602 | |
| (269) 966-1460 | |
| (269) 979-7766 |
| Full Name | Jay Skaggs |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 140 Michigan Ave W, Battle Creek, 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 |
|---|---|---|---|
| 1811224637 | NPI | - | NPPES |
| 6401011644 | Other | MI | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401011644 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Desert Streams P C | 2961446273 | 10 |
| Entity Name | Desert Streams P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740295492 PECOS PAC ID: 2961446273 Enrollment ID: O20050617000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Skaggs, 140 Michigan Ave W, Battle Creek, MI 49017-3602 Ph: (269) 966-1460 | Jay Skaggs, 140 Michigan Ave W, Battle Creek, MI 49017-3602 Ph: (269) 966-1460 |
Edwina Wallace, Counselor Medicare: Medicare Enrolled Practice Location: 140 Michigan Ave W, Battle Creek, MI 49017 Phone: 269-966-1460 Fax: 269-966-2844 | |
Ginger Osborn, Counselor Medicare: Accepting Medicare Assignments Practice Location: 4625 Beckley Rd, Battle Creek, MI 49015 Phone: 269-979-8119 | |
Emily Wilber, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Brigden Dr, Battle Creek, MI 49014 Phone: 269-282-7112 | |
Inyoung Michelle Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3630 Capital Ave Sw, Battle Creek, MI 49015 Phone: 269-966-1460 | |
Troy Michael Masengale, Counselor Medicare: Accepting Medicare Assignments Practice Location: 11 Green St, Battle Creek, MI 49014 Phone: 269-965-1148 | |
Amanda Ann-morgan Cope, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Columbia Ave E Ste 4, Battle Creek, MI 49014 Phone: 269-962-9611 Fax: 269-962-9612 | |
Jasmine Jamierson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Michigan Ave W, Battle Creek, MI 49017 Phone: 269-966-1460 |