| Red House Medical Billing Mi Llc | |
|
1512 W Lake St Fort Collins CO 80521-4423 | |
| (248) 331-1700 | |
| Not Available |
| Full Name | Red House Medical Billing Mi Llc |
|---|---|
| Speciality | Counselor |
| Location | 1512 W Lake St, Fort Collins, Colorado |
| Authorized Official Name and Position | Vanessa Boji (OWNER) |
| Authorized Official Contact | 2487140721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red House Medical Billing Mi Llc 28345 Beck Rd Ste 410 Wixom MI 48393-4745 Ph: (248) 331-1700 | Red House Medical Billing Mi Llc 1512 W Lake St Fort Collins CO 80521-4423 Ph: (248) 331-1700 |
| NPI Number | 1508504630 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Medicare PECOS PAC ID | 3375974843 |
|---|---|
| Medicare Enrollment ID | O20221003002331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508504630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Madelynn Paige Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477210144 PECOS PAC ID: 5092191734 Enrollment ID: I20221003002383 |
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