Wayne State University Physician Group - Medicare Mental Health Clinic in Detroit, MI

Wayne State University Physician Group is a medicare enrolled mental health clinic (Counselor) in Detroit, Michigan. The current practice location for Wayne State University Physician Group is 3901 Chrysler Dr, Tolan Park, Detroit, Michigan. For appointments, you can reach them via phone at (313) 993-3434. The mailing address for Wayne State University Physician Group is 1560 E Maple Rd, Ste 400-credentialing Dept., Troy, Michigan and phone number is (248) 581-5973.

Wayne State University Physician Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447465661. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (313) 993-3434.

Contact Information

Wayne State University Physician Group
3901 Chrysler Dr
Tolan Park
Detroit
MI 48201-2167
(313) 993-3434
(313) 993-3421

Map and Direction


Mental Health Clinic Profile

Full NameWayne State University Physician Group
SpecialityCounselor
Location3901 Chrysler Dr, Detroit, Michigan
Authorized Official Name and PositionJeffery P Kohlitz (CHIEF FINANCIAL OFFICER)
Authorized Official Contact2485815930
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wayne State University Physician Group
1560 E Maple Rd
Ste 400-credentialing Dept.
Troy
MI 48083-1138

Ph: (248) 581-5973
Wayne State University Physician Group
3901 Chrysler Dr
Tolan Park
Detroit
MI 48201-2167

Ph: (313) 993-3434

NPI Details:

NPI Number1447465661
Provider Enumeration Date05/11/2007
Last Update Date10/26/2016

Medicare PECOS Information:

Medicare PECOS PAC ID8628087681
Medicare Enrollment IDO20200901003086

Medical Identifiers

Medical identifiers for Wayne State University Physician Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447465661NPI-NPPES
0P32060OtherMIMEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
0H22872OtherMIBCBSM GROUP#-SOCIAL WORKER
0H22872OtherMIBCBSM GROUP # - SOCIAL WORKER
0P32180OtherMIMEDICARE GROUP # - NP
0P32050OtherMIMEDICARE GROUP # - SOCIAL WORKER
0H22874OtherMIBCBSM GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
0H22830OtherMIBCBSM GROUP # - NP
0H22832OtherMIBCBSM GROUP # - MD/DO
0P30630OtherMIMEDICARE GROUP # - MD/DO
0P32120OtherMIMEDICARE GROUP # - MD/DO FEE LOCALITY 99

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Primary
103G00000XClinical Neuropsychologist (* (Not Available))Secondary
103T00000XPsychologist (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
163W00000XRegistered Nurse (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.