| Mr Michael John Lucido, LLP | |
|
1 Macdonald Dr Ste B, Petoskey, MI 49770-4406 | |
| (231) 347-6701 | |
| Not Available |
| Full Name | Mr Michael John Lucido |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 14 Years |
| Location | 1 Macdonald Dr Ste B, Petoskey, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760623433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301012513 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charlevoix Area Hospital | Charlevoix, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Healthcare Charlevoix Hospital | 4284528035 | 43 |
| Entity Name | Munson Healthcare Charlevoix Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326124058 PECOS PAC ID: 4284528035 Enrollment ID: O20040211001170 |
| Entity Name | North Country Community Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053474015 PECOS PAC ID: 8820052095 Enrollment ID: O20041117000388 |
| Entity Name | Munson Healthcare Charlevoix Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790867216 PECOS PAC ID: 4284528035 Enrollment ID: O20070109000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael John Lucido, LLP 7228 Crystal Springs Rd, Bellaire, MI 49615-9251 Ph: (313) 268-2471 | Mr Michael John Lucido, LLP 1 Macdonald Dr Ste B, Petoskey, MI 49770-4406 Ph: (231) 347-6701 |
Dr. Steven Reppuhn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2810 Charlevoix Ave Ste 102, Arrowhead Commons, Petoskey, MI 49770 Phone: 231-347-6542 Fax: 231-348-0800 | |
Dr. Ronald Clemens Marshall, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2810 Charlevoix Ave, Petoskey, MI 49770 Phone: 231-348-0800 Fax: 231-348-0800 | |
Zelma Josie Bennett, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 704 Petoskey St, Petoskey, MI 49770 Phone: 231-439-3900 | |
Ms. Noel Louise Fleming, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 321 E Lake St Ste 7, Petoskey, MI 49770 Phone: 231-622-5460 Fax: 231-344-6003 | |
Dr. Maria Teresa Daunter, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2040 Intertown Rd, Petoskey, MI 49770 Phone: 231-347-7665 Fax: 231-348-0904 | |
Dr. Claudia Ann Lutosky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 113 Howard St, Petoskey, MI 49770 Phone: 231-348-6454 | |
Dr. Lauren Elizabeth Alessi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1414 Kilborn Dr, Petoskey, MI 49770 Phone: 231-347-5112 Fax: 231-347-5115 |