West Michigan Support And Consultation Pllc - Medicare Mental Health Clinic in Allendale, MI

West Michigan Support And Consultation Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Allendale, Michigan. The current practice location for West Michigan Support And Consultation Pllc is 10854 North Ct, Allendale, Michigan. For appointments, you can reach them via phone at (616) 430-2826. The mailing address for West Michigan Support And Consultation Pllc is 10854 North Ct, Allendale, Michigan and phone number is (616) 430-2826.

West Michigan Support And Consultation Pllc is licensed to practice in Michigan (license number 6801090255). The clinic also participates in the medicare program and its NPI number is 1518393313. 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 (616) 430-2826.

Contact Information

West Michigan Support And Consultation Pllc
10854 North Ct
Allendale
MI 49401-9773
(616) 430-2826
Not Available

Mental Health Clinic Profile

Full NameWest Michigan Support And Consultation Pllc
SpecialitySocial Worker
Location10854 North Ct, Allendale, Michigan
Authorized Official Name and PositionMichael R Goldsmith (SOLE MEMBER)
Authorized Official Contact6164302826
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
West Michigan Support And Consultation Pllc
10854 North Ct
Allendale
MI 49401-9773

Ph: (616) 430-2826
West Michigan Support And Consultation Pllc
10854 North Ct
Allendale
MI 49401-9773

Ph: (616) 430-2826

NPI Details:

NPI Number1518393313
Provider Enumeration Date09/25/2013
Last Update Date09/25/2013

Medicare PECOS Information:

Medicare PECOS PAC ID8022246404
Medicare Enrollment IDO20140109001243

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Medical Identifiers

Medical identifiers for West Michigan Support And Consultation Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518393313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6801090255 (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. West Michigan Support And Consultation Pllc acts as a billing entity for following providers:
Provider NameMichael Goldsmith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376847582
PECOS PAC ID: 6305021171
Enrollment ID: I20110421000597

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