| St Joseph Mercy Oakland | |
|
44405 Woodward Ave Pontiac MI 48341-5023 | |
| (248) 858-3000 | |
| Not Available |
| Full Name | St Joseph Mercy Oakland |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 44405 Woodward Ave, Pontiac, Michigan |
| Authorized Official Name and Position | Michael P Gusho (CFO) |
| Authorized Official Contact | 2488586174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Mercy Oakland 44405 Woodward Ave Pontiac MI 48341-5023 Ph: (248) 858-3000 | St Joseph Mercy Oakland 44405 Woodward Ave Pontiac MI 48341-5023 Ph: (248) 858-3000 |
| NPI Number | 1679501936 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 05/09/2014 |
| Medicare PECOS PAC ID | 7719896596 |
|---|---|
| Medicare Enrollment ID | O20070215000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679501936 | NPI | - | NPPES |
| 1557533 | Medicaid | MI | |
| 5172026 | Medicaid | MI | |
| 20008 | Other | MI | BLUE CROSS IP/OP SUB ABUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H047 (Michigan) | Primary |
Honor Community Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Telegraph Rd, Building 87, Pontiac, MI 48341 Phone: 248-724-7435 | |
Brookside Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 E Iroquois Rd, Pontiac, MI 48341 Phone: 248-390-5919 | |
Michigan Institute Of Neurology And Epilepsy Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44555 Woodward Ave Ste 104, Pontiac, MI 48341 Phone: 248-858-6104 Fax: 248-858-6115 | |
Oakland Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201 | |
North Oakland Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Psychiatric Unit, Pontiac, MI 48341 Phone: 248-857-7200 | |
Ennis Center For Children, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 S Telegraph Rd, Pontiac, MI 48341 Phone: 248-334-2715 | |
Mclaren Oakland Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 |