Comprehensive Therapy Center Inc is a medicare enrolled "Voluntary Or Charitable" provider in Grand Rapids, Michigan. Their current practice location is
2505 Ardmore St Se, Grand Rapids, Michigan. You can reach out to their office (for appointments etc.) via phone at
(616) 559-1054.
Comprehensive Therapy Center Inc is licensed to practice in Michigan (license number 766216) and it also participates in the medicare program. Comprehensive Therapy Center 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 1073658597.
Healthcare Provider's Profile
| Full Name | Comprehensive Therapy Center Inc |
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| Type | Facility |
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| Speciality | Voluntary Or Charitable |
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| Location | 2505 Ardmore 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: 1073658597
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 05/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 1951534296
- Enrollment ID: O20140512001686
Medical Identifiers
Medical identifiers for Comprehensive Therapy Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073658597 | NPI | - | NPPES |
| 4866078 | Medicaid | MI | |
| QMXPR0018904 | Other | MI | MOLINA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 7101000658 (Michigan) | Secondary |
| 225X00000X | Occupational Therapist | 5201006103 (Michigan) | Secondary |
| 103T00000X | Psychologist | 6301002435 (Michigan) | Secondary |
| 251V00000X | Voluntary Or Charitable | 766216 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Comprehensive Therapy Center Inc acts as a billing entity for following providers:
| Provider Name | Pamela Leigh Carrico |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1043553613
PECOS PAC ID: 8628480373
Enrollment ID: I20201222000851 |
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| Provider Name | Madalyn Irene Alexander |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1508642133
PECOS PAC ID: 4385083914
Enrollment ID: I20240416002137 |
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| Provider Name | Faith Marie Williamson |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1215717913
PECOS PAC ID: 9739621970
Enrollment ID: I20240604000956 |
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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. Comprehensive Therapy Center 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 |
|---|
Comprehensive Therapy Center Inc
2505 Ardmore St Se,
Grand Rapids, MI 49506-4924
Ph: (616) 559-1054 | Comprehensive Therapy Center Inc
2505 Ardmore St Se,
Grand Rapids, MI 49506-4924
Ph: (616) 559-1054 |
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