Kaizen Center For Mental Health Pllc - Medicare Mental Health Clinic in Murray, UT

Kaizen Center For Mental Health Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Murray, Utah. The current practice location for Kaizen Center For Mental Health Pllc is 4055 S 700 E Ste 103, Murray, Utah. For appointments, you can reach them via phone at (801) 712-1790. The mailing address for Kaizen Center For Mental Health Pllc is 4055 S 700 E Ste 103, Murray, Utah and phone number is () -.

Kaizen Center For Mental Health Pllc is licensed to practice in Utah (license number 94280933501). The clinic also participates in the medicare program and its NPI number is 1134616899. 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 (801) 712-1790.

Contact Information

Kaizen Center For Mental Health Pllc
4055 S 700 E Ste 103
Murray
UT 84107-2508
(801) 712-1790
Not Available

Mental Health Clinic Profile

Full NameKaizen Center For Mental Health Pllc
SpecialitySocial Worker
Location4055 S 700 E Ste 103, Murray, Utah
Authorized Official Name and PositionMichael Wickersham (PROVIDER/OWNER)
Authorized Official Contact8017121790
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kaizen Center For Mental Health Pllc
4055 S 700 E Ste 103
Murray
UT 84107-2508

Ph: () -
Kaizen Center For Mental Health Pllc
4055 S 700 E Ste 103
Murray
UT 84107-2508

Ph: (801) 712-1790

NPI Details:

NPI Number1134616899
Provider Enumeration Date04/18/2018
Last Update Date04/18/2018

Medicare PECOS Information:

Medicare PECOS PAC ID0143584763
Medicare Enrollment IDO20180508001210

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Medical Identifiers

Medical identifiers for Kaizen Center For Mental Health Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134616899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 94280933501 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kaizen Center For Mental Health Pllc acts as a billing entity for following providers:
Provider NameMichael C Wickersham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932572161
PECOS PAC ID: 4385935931
Enrollment ID: I20160629000520

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Provider NameMolly Quick Mcfadden
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184901522
PECOS PAC ID: 4688974330
Enrollment ID: I20191211002998

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