Marykay Radford, is a
Counselor - Addiction (substance Use Disorder) based in Fruitport, Michigan. Marykay Radford is licensed to practice in * (Not Available) (license number ) and her current practice location is
3285 S Broton Rd, Fruitport, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 739-4359.
NPI number for Marykay Radford is 1619370855 and her current mailing address is 3285 S Broton Rd, Fruitport, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619370855.
Healthcare Provider's Profile
Full Name | Marykay Radford |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 3285 S Broton Rd, Fruitport, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619370855
- Provider Enumeration Date: 10/02/2014
- Last Update Date: 10/02/2014
Medical Identifiers
Medical identifiers for Marykay Radford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619370855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marykay Radford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marykay Radford, 3285 S Broton Rd, Fruitport, MI 49415-9792 Ph: (231) 739-4359 | Marykay Radford, 3285 S Broton Rd, Fruitport, MI 49415-9792 Ph: (231) 739-4359 |
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