| John M Berecz Phd Abpp Llc | |
|
2117 Grange Rd Buchanan MI 49107-9367 | |
| (269) 470-9999 | |
| Not Available |
| Full Name | John M Berecz Phd Abpp Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2117 Grange Rd, Buchanan, Michigan |
| Authorized Official Name and Position | Cynthia Diane Caballero (INSURANCE CLERK/BOOKKEEPER) |
| Authorized Official Contact | 2699214921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Berecz Phd Abpp Llc 2117 Grange Rd Buchanan MI 49107-9367 Ph: (269) 470-9999 | John M Berecz Phd Abpp Llc 2117 Grange Rd Buchanan MI 49107-9367 Ph: (269) 470-9999 |
| NPI Number | 1144850744 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Medicare PECOS PAC ID | 2769818079 |
|---|---|
| Medicare Enrollment ID | O20200205001215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144850744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | John M Berecz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518246123 PECOS PAC ID: 6204067879 Enrollment ID: I20140324001973 |
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