Optimum Balance - Medicare Mental Health Clinic in Fenton, MI

Optimum Balance is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Fenton, Michigan. The current practice location for Optimum Balance is 1537 N. Leroy Street, Suite D, Fenton, Michigan. For appointments, you can reach them via phone at (810) 771-8969. The mailing address for Optimum Balance is 1537 N Leroy St Ste D, Fenton, Michigan and phone number is (810) 771-8969.

Optimum Balance is licensed to practice in Michigan (license number 6401013238). The clinic also participates in the medicare program and its NPI number is 1245767888. 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) 771-8969.

Contact Information

Optimum Balance
1537 N. Leroy Street
Suite D
Fenton
MI 48430
(810) 771-8969
Not Available

Mental Health Clinic Profile

Full NameOptimum Balance
SpecialityClinic/Center
Location1537 N. Leroy Street, Fenton, Michigan
Authorized Official Name and PositionKarl Stanley Gill (OWNER)
Authorized Official Contact8107718969
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Optimum Balance
1537 N Leroy St Ste D
Fenton
MI 48430-2795

Ph: (810) 771-8969
Optimum Balance
1537 N. Leroy Street
Suite D
Fenton
MI 48430

Ph: (810) 771-8969

NPI Details:

NPI Number1245767888
Provider Enumeration Date05/14/2017
Last Update Date09/17/2020
Certification Date09/17/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9739418351
Medicare Enrollment IDO20190906003138

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Medical Identifiers

Medical identifiers for Optimum Balance such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245767888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 6401013238 (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. Optimum Balance acts as a billing entity for following providers:
Provider NameJoseph Dragun
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1093789448
PECOS PAC ID: 1355321845
Enrollment ID: I20040724000029

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Provider NameLawrence R Koper
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134482573
PECOS PAC ID: 8022251628
Enrollment ID: I20130829000684

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Provider NameJoshua Fortney
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073854576
PECOS PAC ID: 7719382795
Enrollment ID: I20210830002084

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Provider NameKimberly Marie Sanderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659044683
PECOS PAC ID: 9133584907
Enrollment ID: I20230501000433

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Provider NameTeresa Traks-garrison
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659972297
PECOS PAC ID: 2567815558
Enrollment ID: I20240125003496

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Clinic/Center in Fenton, MI

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