Cherry Street Services, Inc. is a medicare enrolled "Clinic/center - Federally Qualified Health Center (fqhc)" provider in Grand Rapids, Michigan. Their current practice location is
100 Cherry St Se, Grand Rapids, Michigan. You can reach out to their office (for appointments etc.) via phone at
(616) 965-8200.
Cherry Street Services, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Cherry Street Services, Inc.
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 1669530986.
Healthcare Provider's Profile
| Full Name | Cherry Street Services, Inc. |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 100 Cherry St Se, Grand Rapids, 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: 1669530986
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 05/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800707647
- Enrollment ID: O20030725000027
Medical Identifiers
Medical identifiers for Cherry Street Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669530986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (Michigan) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (Michigan) | Secondary |
| 163W00000X | Registered Nurse | (* (Not Available)) | Secondary |
| 183500000X | Pharmacist | 5301009686 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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. Cherry Street Services, Inc. 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 |
|---|
Cherry Street Services, Inc.
100 Cherry St Se,
Grand Rapids, MI 49503-4526
Ph: (616) 965-8200 | Cherry Street Services, Inc.
100 Cherry St Se,
Grand Rapids, MI 49503-4526
Ph: (616) 965-8200 |
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