Sue Pellerito Llc - Medicare Mental Health Clinic in Ann Arbor, MI

Sue Pellerito Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Ann Arbor, Michigan. The current practice location for Sue Pellerito Llc is 2311 Shelby Ave Ste 105a, Ann Arbor, Michigan. For appointments, you can reach them via phone at (734) 775-0662. The mailing address for Sue Pellerito Llc is 9915 Huron River Dr, Dexter, Michigan and phone number is (734) 775-0662.

Sue Pellerito Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164042917. 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 (734) 775-0662.

Contact Information

Sue Pellerito Llc
2311 Shelby Ave Ste 105a
Ann Arbor
MI 48103-3849
(734) 775-0662
(734) 726-5138

Mental Health Clinic Profile

Full NameSue Pellerito Llc
SpecialitySocial Worker
Location2311 Shelby Ave Ste 105a, Ann Arbor, Michigan
Authorized Official Name and PositionSuzanne M Pellerito (OWNER)
Authorized Official Contact7347750662
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sue Pellerito Llc
9915 Huron River Dr
Dexter
MI 48130-9466

Ph: (734) 775-0662
Sue Pellerito Llc
2311 Shelby Ave Ste 105a
Ann Arbor
MI 48103-3849

Ph: (734) 775-0662

NPI Details:

NPI Number1164042917
Provider Enumeration Date04/22/2020
Last Update Date04/22/2020
Certification Date04/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8729418975
Medicare Enrollment IDO20200430002360

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Medical Identifiers

Medical identifiers for Sue Pellerito Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164042917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (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. Sue Pellerito Llc acts as a billing entity for following providers:
Provider NameSuzanne M Pellerito
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548431737
PECOS PAC ID: 2860650355
Enrollment ID: I20120301000444

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