| Dr Alisha Renee Thibault-hladki, MD | |
|
300 68th Street Se, Pine Rest Christian Mental Health Services, Grand Rapids, MI 49548 | |
| (616) 456-0842 | |
| (616) 559-5864 |
| Full Name | Dr Alisha Renee Thibault-hladki |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 300 68th Street Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295264034 | NPI | - | NPPES |
| Entity Name | Northeast Michigan Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144378381 PECOS PAC ID: 2264498005 Enrollment ID: O20041203000522 |
| Entity Name | Hope Network Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043295934 PECOS PAC ID: 9537251756 Enrollment ID: O20070817000312 |
| Entity Name | Mercy Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alisha Renee Thibault-hladki, MD 300 68th Street Se, Pine Rest Christian Mental Health Services, Grand Rapids, MI 49548 Ph: (616) 456-0842 | Dr Alisha Renee Thibault-hladki, MD 300 68th Street Se, Pine Rest Christian Mental Health Services, Grand Rapids, MI 49548 Ph: (616) 456-0842 |
Cory Manoogian, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-559-5870 | |
Dr. Talal Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 68th Street Se, Pine Rest Christian Mental Health Service,, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Mark Melby Juel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0842 Fax: 616-559-5864 | |
Beenish Javaid, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-267-7104 | |
Subodh Jain, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 Phone: 616-447-5820 | |
Dr. Dora Eva Hillman, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1545 68th St Se Ste 200, Grand Rapids, MI 49508 Phone: 616-447-5820 | |
Dr. Justin Royer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0857 |