Monarch Grief Center - Medicare Mental Health Clinic in Perrysburg, OH

Monarch Grief Center is a medicare enrolled mental health clinic (Community/behavioral Health) in Perrysburg, Ohio. The current practice location for Monarch Grief Center is 314 Louisiana Ave, Perrysburg, Ohio. For appointments, you can reach them via phone at (567) 331-8601. The mailing address for Monarch Grief Center is 314 Louisiana Ave, Perrysburg, Ohio and phone number is (567) 331-8601.

Monarch Grief Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073293569. 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 (567) 331-8601.

Contact Information

Monarch Grief Center
314 Louisiana Ave
Perrysburg
OH 43551-1461
(567) 331-8601
Not Available

Mental Health Clinic Profile

Full NameMonarch Grief Center
SpecialityCommunity/Behavioral Health
Location314 Louisiana Ave, Perrysburg, Ohio
Authorized Official Name and PositionTimothy Polakowski (COFOUNDER & EXECUTIVE DIRECTOR)
Authorized Official Contact5673318601
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Monarch Grief Center
314 Louisiana Ave
Perrysburg
OH 43551-1461

Ph: (567) 331-8601
Monarch Grief Center
314 Louisiana Ave
Perrysburg
OH 43551-1461

Ph: (567) 331-8601

NPI Details:

NPI Number1073293569
Provider Enumeration Date07/20/2023
Last Update Date07/20/2023
Certification Date07/20/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1254795909
Medicare Enrollment IDO20230913002160

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Medical Identifiers

Medical identifiers for Monarch Grief Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073293569NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Monarch Grief Center acts as a billing entity for following providers:
Provider NameTimothy Polakowski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871273276
PECOS PAC ID: 3779947395
Enrollment ID: I20230915001309

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