| Tele Psychiatry Associates Pllc | |
|
2743 Hagadorn Rd Mason MI 48854-9456 | |
| (517) 896-5612 | |
| Not Available |
| Full Name | Tele Psychiatry Associates Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2743 Hagadorn Rd, Mason, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tele Psychiatry Associates Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Tele Psychiatry Associates Pllc 2743 Hagadorn Rd Mason MI 48854-9456 Ph: (517) 896-5612 |
| NPI Number | 1194239202 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 2264807320 |
|---|---|
| Medicare Enrollment ID | O20230404001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194239202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | David A Picone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568575579 PECOS PAC ID: 4587624770 Enrollment ID: I20041013000541 |
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