Delaware Professional Therapy Pllc - Medicare Mental Health Clinic in Hazel Park, MI

Delaware Professional Therapy Pllc is a medicare enrolled mental health clinic (Social Worker) in Hazel Park, Michigan. The current practice location for Delaware Professional Therapy Pllc is 116 W 8 Mile Rd Ste B, Hazel Park, Michigan. For appointments, you can reach them via phone at (313) 421-8366. The mailing address for Delaware Professional Therapy Pllc is 116 W 8 Mile Rd Ste B, Hazel Park, Michigan and phone number is (313) 421-8366.

Delaware Professional Therapy Pllc is licensed to practice in Michigan (license number 6801059788). The clinic also participates in the medicare program and its NPI number is 1124496591. 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 (313) 421-8366.

Contact Information

Delaware Professional Therapy Pllc
116 W 8 Mile Rd Ste B
Hazel Park
MI 48030-2433
(313) 421-8366
Not Available

Mental Health Clinic Profile

Full NameDelaware Professional Therapy Pllc
SpecialitySocial Worker
Location116 W 8 Mile Rd Ste B, Hazel Park, Michigan
Authorized Official Name and PositionJohn Boyd Krisel (OWNER)
Authorized Official Contact3134218366
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Delaware Professional Therapy Pllc
116 W 8 Mile Rd Ste B
Hazel Park
MI 48030-2433

Ph: (313) 421-8366
Delaware Professional Therapy Pllc
116 W 8 Mile Rd Ste B
Hazel Park
MI 48030-2433

Ph: (313) 421-8366

NPI Details:

NPI Number1124496591
Provider Enumeration Date09/02/2015
Last Update Date09/02/2015

Medicare PECOS Information:

Medicare PECOS PAC ID9931418118
Medicare Enrollment IDO20151029001458

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Medical Identifiers

Medical identifiers for Delaware Professional Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124496591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
104100000XSocial Worker 6801059788 (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. Delaware Professional Therapy Pllc acts as a billing entity for following providers:
Provider NameJohn B Krisel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437289071
PECOS PAC ID: 1456660638
Enrollment ID: I20151029001642

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