| Kenneth Walter Beroza, MD | |
|
1021 S Kinney Street, Mt Pleasant, MI 48858 | |
| (989) 773-5095 | |
| (989) 772-2827 |
| Full Name | Kenneth Walter Beroza |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1021 S Kinney Street, Mt Pleasant, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760539803 | NPI | - | NPPES |
| 4301054743 | Other | MI | MEDICINE PERMANENT ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301054743 (Michigan) | Primary |
| Entity Name | Family Health Psychiatric & Counseling Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487703567 PECOS PAC ID: 1153228721 Enrollment ID: O20031212000872 |
| Entity Name | Community Mental Health For Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881622892 PECOS PAC ID: 4688660533 Enrollment ID: O20040812000187 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Walter Beroza, MD Po Box 336, Mt Pleasant, MI 48804 Ph: (989) 773-5095 | Kenneth Walter Beroza, MD 1021 S Kinney Street, Mt Pleasant, MI 48858 Ph: (989) 773-5095 |
Rachel Margaret Ann Brown, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 202 Foust Hall, Mt Pleasant, MI 48859 Phone: 989-774-6599 Fax: 989-774-4335 | |
Mr. Mitchel Osman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 617 E Broadway, Mt Pleasant, MI 48858 Phone: 989-773-6300 Fax: 989-772-9001 | |
Dr. James Randolph Hillard, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 202 Foust Hall, Mt Pleasant, MI 48859 Phone: 989-774-6599 Fax: 989-774-4335 | |
Dr. Kelly Carmela Ketchum, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2790 Health Pkwy, Mt Pleasant, MI 48858 Phone: 989-953-5320 Fax: 899-953-5329 |