Kristin Emanuel Llc - Medicare Mental Health Clinic in Saint Joseph, MI

Kristin Emanuel Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Saint Joseph, Michigan. The current practice location for Kristin Emanuel Llc is 3408 Niles Rd, Saint Joseph, Michigan. For appointments, you can reach them via phone at (269) 428-4789. The mailing address for Kristin Emanuel Llc is 3408 Niles Rd, Saint Joseph, Michigan and phone number is () -.

Kristin Emanuel Llc is licensed to practice in Michigan (license number 6301015211). The clinic also participates in the medicare program and its NPI number is 1326590928. 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 (269) 428-4789.

Contact Information

Kristin Emanuel Llc
3408 Niles Rd
Saint Joseph
MI 49085-8628
(269) 428-4789
Not Available

Mental Health Clinic Profile

Full NameKristin Emanuel Llc
SpecialityPsychologist
Location3408 Niles Rd, Saint Joseph, Michigan
Authorized Official Name and PositionKristin Emanuel (LICENSED PSYCHOLOGIST)
Authorized Official Contact2694284789
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristin Emanuel Llc
3408 Niles Rd
Saint Joseph
MI 49085-8628

Ph: () -
Kristin Emanuel Llc
3408 Niles Rd
Saint Joseph
MI 49085-8628

Ph: (269) 428-4789

NPI Details:

NPI Number1326590928
Provider Enumeration Date10/30/2016
Last Update Date10/30/2016

Medicare PECOS Information:

Medicare PECOS PAC ID1658655006
Medicare Enrollment IDO20170302000558

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Medical Identifiers

Medical identifiers for Kristin Emanuel Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326590928NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301015211 (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. Kristin Emanuel Llc acts as a billing entity for following providers:
Provider NameKristin M Emanuel
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1225323280
PECOS PAC ID: 7113241720
Enrollment ID: I20150129002465

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