| Tracy H. Bishop And Associates, Llc | |
|
22750 Woodward Ave Ste 208 Ferndale MI 48220-1753 | |
| (773) 548-2260 | |
| Not Available |
| Full Name | Tracy H. Bishop And Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 22750 Woodward Ave Ste 208, Ferndale, Michigan |
| Authorized Official Name and Position | Tracy H Bishop (OWNER/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 7735482260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy H. Bishop And Associates, Llc 22750 Woodward Ave Ste 208 Ferndale MI 48220-1753 Ph: (773) 548-2260 | Tracy H. Bishop And Associates, Llc 22750 Woodward Ave Ste 208 Ferndale MI 48220-1753 Ph: (773) 548-2260 |
| NPI Number | 1134796675 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Medicare PECOS PAC ID | 9739585217 |
|---|---|
| Medicare Enrollment ID | O20210908003299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134796675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tracy Hillary Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427176114 PECOS PAC ID: 2567882079 Enrollment ID: I20201022002618 |
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