Coventures Llc - Medicare Mental Health Clinic in Monroe, MI

Coventures Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Monroe, Michigan. The current practice location for Coventures Llc is 986 S Telegraph Rd, Monroe, Michigan. For appointments, you can reach them via phone at (734) 770-7573. The mailing address for Coventures Llc is 4328 Cousino, La Salle, Michigan and phone number is () -.

Coventures Llc is licensed to practice in Michigan (license number 6801035097). The clinic also participates in the medicare program and its NPI number is 1457568784. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (734) 770-7573.

Contact Information

Coventures Llc
986 S Telegraph Rd
Monroe
MI 48161-4097
(734) 770-7573
Not Available

Mental Health Clinic Profile

Full NameCoventures Llc
SpecialitySocial Worker
Location986 S Telegraph Rd, Monroe, Michigan
Authorized Official Name and PositionMichael Boudrie (CO-OWNER)
Authorized Official Contact74347707573
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Coventures Llc
4328 Cousino
La Salle
MI 48145-9623

Ph: () -
Coventures Llc
986 S Telegraph Rd
Monroe
MI 48161-4097

Ph: (734) 770-7573

NPI Details:

NPI Number1457568784
Provider Enumeration Date05/17/2007
Last Update Date01/13/2015

Medicare PECOS Information:

Medicare PECOS PAC ID1850615154
Medicare Enrollment IDO20150114002325

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Medical Identifiers

Medical identifiers for Coventures Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457568784NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6801035097 (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. Coventures Llc acts as a billing entity for following providers:
Provider NameMichael Edward Boudrie
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609860436
PECOS PAC ID: 3274553284
Enrollment ID: I20150114002396

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