Peter M Lisiecki Phd Pc Inc - Medicare Mental Health Clinic in Brighton, MI

Peter M Lisiecki Phd Pc Inc is a medicare enrolled mental health clinic (Psychologist) in Brighton, Michigan. The current practice location for Peter M Lisiecki Phd Pc Inc is 7960 W. Grand River, Ste 120, Brighton, Michigan. For appointments, you can reach them via phone at (810) 227-1999. The mailing address for Peter M Lisiecki Phd Pc Inc is 7960 Grand River Rd Ste 120, Brighton, Michigan and phone number is () -.

Peter M Lisiecki Phd Pc Inc is licensed to practice in Michigan (license number 6301003173). The clinic also participates in the medicare program and its NPI number is 1043352701. 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) 227-1999.

Contact Information

Peter M Lisiecki Phd Pc Inc
7960 W. Grand River
Ste 120
Brighton
MI 48114-7335
(810) 227-1999
(810) 225-2265

Mental Health Clinic Profile

Full NamePeter M Lisiecki Phd Pc Inc
SpecialityPsychologist
Location7960 W. Grand River, Brighton, Michigan
Authorized Official Name and PositionPeter Michael Lisiecki (PRESIDENT)
Authorized Official Contact8102271999
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peter M Lisiecki Phd Pc Inc
7960 Grand River Rd Ste 120
Brighton
MI 48114-7335

Ph: () -
Peter M Lisiecki Phd Pc Inc
7960 W. Grand River
Ste 120
Brighton
MI 48114-7335

Ph: (810) 227-1999

NPI Details:

NPI Number1043352701
Provider Enumeration Date02/12/2007
Last Update Date06/17/2010

Medicare PECOS Information:

Medicare PECOS PAC ID0446389381
Medicare Enrollment IDO20100602000392

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Medical Identifiers

Medical identifiers for Peter M Lisiecki Phd Pc Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043352701NPI-NPPES
680D745030OtherMIBCBSM PIN
045199OtherMIVALUE OPTIONS PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 6301003173 (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. Peter M Lisiecki Phd Pc Inc acts as a billing entity for following providers:
Provider NamePeter Michael Lisiecki
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1164744983
PECOS PAC ID: 2860521705
Enrollment ID: I20100621000366

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