| Mr Thomas Edward Haefner, LLP | |
|
33101 Annapolis St, Wayne, MI 48184-2405 | |
| (734) 721-0200 | |
| (734) 721-1766 |
| Full Name | Mr Thomas Edward Haefner |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 30 Years |
| Location | 33101 Annapolis St, Wayne, 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 |
|---|---|---|---|
| 1104913177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 6301009928 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Development Centers Inc | 0547254443 | 16 |
| Entity Name | Development Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326135047 PECOS PAC ID: 0547254443 Enrollment ID: O20040413001246 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Edward Haefner, LLP 29814 Oakley St, Livonia, MI 48154-3736 Ph: (734) 762-6248 | Mr Thomas Edward Haefner, LLP 33101 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 721-0200 |
Ms. Kristle R. White, M.A., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35640 W Michigan Ave, Wayne, MI 48184 Phone: 734-729-7792 Fax: 734-729-7938 | |
Dave Wesley Bussell Ii, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34841 Veterans Plz, Wayne, MI 48184 Phone: 313-292-7640 Fax: 313-292-9270 | |
Mr. Austin Henry Kovar, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35640 W Michigan Ave, Wayne, MI 48184 Phone: 734-729-7792 | |
Colin F King, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 34841 Veterans Plz, Wayne, MI 48184 Phone: 313-292-7640 Fax: 313-292-9270 | |
Ms. Eugenia Ann Ward, MA LLP LMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 33101 Annapolis, Wayne, MI 48184 Phone: 313-961-3055 | |
Asia Amir Hall, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 37640 Hillcrest Dr, Wayne, MI 48184 Phone: 734-674-5273 |