Lorraine Fertuck, | |
572 S Cranbrook Cross Rd, Bloomfield, MI 48301-3433 | |
(248) 882-3860 | |
Not Available |
Full Name | Lorraine Fertuck |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 572 S Cranbrook Cross Rd, Bloomfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932537891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Rivers Bend Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265520209 PECOS PAC ID: 1052302874 Enrollment ID: O20040526000958 |
Mailing Address | Practice Location Address |
---|---|
Lorraine Fertuck, 572 S Cranbrook Cross Rd, Bloomfield, MI 48301-3433 Ph: (248) 882-3860 | Lorraine Fertuck, 572 S Cranbrook Cross Rd, Bloomfield, MI 48301-3433 Ph: (248) 882-3860 |
Michelle Marie Merritt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3844 Oakhills Dr, Bloomfield, MI 48301 Phone: 249-759-0500 | |
Kertrina Gordon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 S Telegraph Rd, Bloomfield, MI 48302 Phone: 248-456-8150 Fax: 248-292-1010 | |
Ms. Megan Mirza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Billingsgate Ct, Bloomfield, MI 48301 Phone: 248-882-0080 |