Kelatess Pc - Medicare Mental Health Clinic in Burton, MI

Kelatess Pc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Burton, Michigan. The current practice location for Kelatess Pc is 1441 E Maple Ave, Burton, Michigan. For appointments, you can reach them via phone at (810) 820-6265. The mailing address for Kelatess Pc is 7382 Mohansic Dr, Bloomfield Hills, Michigan and phone number is (810) 606-1099.

Kelatess Pc is licensed to practice in Michigan (license number 6301006835). The clinic also participates in the medicare program and its NPI number is 1659305860. 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 (810) 820-6265.

Contact Information

Kelatess Pc
1441 E Maple Ave
Burton
MI 48529-2059
(810) 820-6265
Not Available

Mental Health Clinic Profile

Full NameKelatess Pc
SpecialityPsychologist
Location1441 E Maple Ave, Burton, Michigan
Authorized Official Name and PositionMatthew P. Dickson (PRESIDENT)
Authorized Official Contact8106061099
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelatess Pc
7382 Mohansic Dr
Bloomfield Hills
MI 48301-3552

Ph: (810) 606-1099
Kelatess Pc
1441 E Maple Ave
Burton
MI 48529-2059

Ph: (810) 820-6265

NPI Details:

NPI Number1659305860
Provider Enumeration Date07/11/2006
Last Update Date11/30/2016

Medicare PECOS Information:

Medicare PECOS PAC ID0648240895
Medicare Enrollment IDO20040727000770

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Medical Identifiers

Medical identifiers for Kelatess Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659305860NPI-NPPES
680F33159OtherMIBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301006835 (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. Kelatess Pc acts as a billing entity for following providers:
Provider NameMatthew P Dickson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437321502
PECOS PAC ID: 9234109497
Enrollment ID: I20040727001046

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