| Bellin Behavioral Health Escanaba | |
|
610 S Lincoln Rd Escanaba MI 49829-1215 | |
| (906) 786-6409 | |
| Not Available |
| Full Name | Bellin Behavioral Health Escanaba |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 S Lincoln Rd, Escanaba, Michigan |
| Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9204457226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellin Behavioral Health Escanaba 610 S Lincoln Rd Escanaba MI 49829-1215 Ph: (906) 786-6409 | Bellin Behavioral Health Escanaba 610 S Lincoln Rd Escanaba MI 49829-1215 Ph: (906) 786-6409 |
| NPI Number | 1801150206 |
|---|---|
| Provider Enumeration Date | 06/29/2012 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 4486551058 |
|---|---|
| Medicare Enrollment ID | O20121222000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801150206 | NPI | - | NPPES |
| Provider Name | Steven Miljour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548240757 PECOS PAC ID: 8325115850 Enrollment ID: I20080924000487 |
| Provider Name | John M Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295715480 PECOS PAC ID: 9537225107 Enrollment ID: I20090305000540 |
| Provider Name | Jill A Esterly Jayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235306473 PECOS PAC ID: 4082896683 Enrollment ID: I20110302000937 |
| Provider Name | Derek Carl Carlson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790775450 PECOS PAC ID: 6507914694 Enrollment ID: I20141027000351 |
| Provider Name | Melissa Lee Gauthier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578588745 PECOS PAC ID: 9537453717 Enrollment ID: I20160810002726 |
| Provider Name | Dhanvendran Ramar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316269640 PECOS PAC ID: 7012151178 Enrollment ID: I20170620000152 |
| Provider Name | Chaz Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467802645 PECOS PAC ID: 2860788114 Enrollment ID: I20181105001633 |
| Provider Name | Lawrence J De Lay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467606616 PECOS PAC ID: 5698924181 Enrollment ID: I20220217001710 |
| Provider Name | Matthew H Burson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316903834 PECOS PAC ID: 2567556681 Enrollment ID: I20220317001262 |
| Provider Name | Hector F Britto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790817286 PECOS PAC ID: 1759281736 Enrollment ID: I20220317001983 |
| Provider Name | Heather Rae Fochesato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821482795 PECOS PAC ID: 1052629193 Enrollment ID: I20221005001431 |
| Provider Name | Michelle Ann Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730682386 PECOS PAC ID: 2264801380 Enrollment ID: I20221214000760 |
| Provider Name | Sara Marie Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326636044 PECOS PAC ID: 0345654448 Enrollment ID: I20230406000758 |
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