Walloon Lake Recovery Lodge, Llc - Medicare Mental Health Clinic in Boyne Falls, MI

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Walloon Lake Recovery Lodge, Llc is a medicare enrolled mental health clinic (Substance Abuse Rehabilitation Facility) in Boyne Falls, Michigan. The current practice location for Walloon Lake Recovery Lodge, Llc is 2329 Center St, Boyne Falls, Michigan. For appointments, you can reach them via phone at (231) 535-2822. The mailing address for Walloon Lake Recovery Lodge, Llc is 2329 Center St, Boyne Falls, Michigan and phone number is (231) 535-2822.

Walloon Lake Recovery Lodge, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750791505. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (231) 535-2822.

Contact Information

Walloon Lake Recovery Lodge, Llc
2329 Center St
Boyne Falls
MI 49713-9268
(231) 535-2822
(231) 535-2372

Map and Direction


Mental Health Clinic Profile

Full NameWalloon Lake Recovery Lodge, Llc
SpecialitySubstance Abuse Rehabilitation Facility
Location2329 Center St, Boyne Falls, Michigan
Authorized Official Name and PositionJackie Dee Wurst (FINANCIAL DIRECTOR)
Authorized Official Contact2317584566
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Walloon Lake Recovery Lodge, Llc
2329 Center St
Boyne Falls
MI 49713-9268

Ph: (231) 535-2822		Walloon Lake Recovery Lodge, Llc
2329 Center St
Boyne Falls
MI 49713-9268

Ph: (231) 535-2822

NPI Details:

NPI Number1750791505
Provider Enumeration Date05/02/2014
Last Update Date03/25/2024
Certification Date03/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6901341155
Medicare Enrollment IDO20240711002303

Medical Identifiers

Medical identifiers for Walloon Lake Recovery Lodge, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750791505NPI-NPPES
SA0150024OtherMILARA LICENSE
SA0690033OtherMILARA LICENSE
SA0240041OtherMILARA LICENSE
5801000334OtherMITRANSPORTATION
SA0150031OtherMILARA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
103T00000XPsychologist (* (Not Available))Secondary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder (* (Not Available))Secondary
343900000XNon-emergency Medical Transport (van) (* (Not Available))Secondary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Walloon Lake Recovery Lodge, Llc acts as a billing entity for following providers:
Provider NameJean Christiana Marion Talsma
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1144660200
PECOS PAC ID: 0840583639
Enrollment ID: I20160802000442
Provider NameBrandon Robert Peter Mielke
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1760004907
PECOS PAC ID: 3375088552
Enrollment ID: I20240711003187
Provider NameJocindee Gasco
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1235369083
PECOS PAC ID: 0042755225
Enrollment ID: I20240711003427
Provider NamePaul Bennett
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1043069032
PECOS PAC ID: 4183169378
Enrollment ID: I20240711003666
Provider NameRosaria Vasile
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902377609
PECOS PAC ID: 1850836057
Enrollment ID: I20240711003867
Provider NameAdam Labarthe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770224305
PECOS PAC ID: 2163967365
Enrollment ID: I20240711004034

Reviews and Comments

Substance Abuse Rehabilitation Facility in Boyne Falls, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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