Autism Systems Llc is a medicare enrolled "Behavior Analyst" provider in Fort Gratiot, Michigan. Their current practice location is
3245 Keewahdin Rd, Fort Gratiot, Michigan. You can reach out to their office (for appointments etc.) via phone at
(989) 401-2244.
Autism Systems Llc is licensed to practice in Hawaii (license number BA-79) and it also participates in the medicare program. Autism Systems Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1972030724.
Healthcare Provider's Profile
| Full Name | Autism Systems Llc |
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| Type | Facility |
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| Speciality | Behavior Analyst |
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| Location | 3245 Keewahdin Rd, Fort Gratiot, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972030724
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608242250
- Enrollment ID: O20221021002376
Medical Identifiers
Medical identifiers for Autism Systems Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972030724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | BA-79 (Hawaii) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Autism Systems Llc acts as a billing entity for following providers:
| Provider Name | Jordan Leigh Jones |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1275202251
PECOS PAC ID: 5597163493
Enrollment ID: I20211007000424 |
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| Provider Name | Maria E Valtadoros |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1801139126
PECOS PAC ID: 5395111983
Enrollment ID: I20221024000827 |
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| Provider Name | Kasey Ann Kastros |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1457083271
PECOS PAC ID: 7810352564
Enrollment ID: I20230502000973 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autism Systems Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Autism Systems Llc
5039 Villa Linde Pkwy Ste 30,
Flint, MI 48532-3450
Ph: (248) 228-0502 | Autism Systems Llc
3245 Keewahdin Rd,
Fort Gratiot, MI 48059-3498
Ph: (989) 401-2244 |
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