Reliance Community Care Partners
A Medicare group practice based in Grand Rapids, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8921268855), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8921268855
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20120329000559 | MI | Part B Supplier - Clinic/Group Practice | 1861045775 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Reliance Community Care Partners
dba Reliance Integrated Wellness Center
- Psychiatry Physician
- Grand Rapids, MI
- NPI 1861045775
-
Reliance Community Care Partners
- Case Management Agency
- Grand Rapids, MI
- NPI 1417005257
Practice locations
- Grand Rapids, MI1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (3).
-
Brooke Lynn Andrusiak
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1376033811
-
Donald J Curran, D.O.
- Geriatric Psychiatry Physician
- Cottonwood, AZ
- NPI 1922056746
-
Lara Dengerink-Vantil, NP
- Gerontology Nurse Practitioner
- Grand Rapids, MI
- NPI 1679023501
-
Lauren M Guttersen, LMSW
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1669713525
-
Kathy A Myrkle, LMSW
- Social Worker
- Grand Rapids, MI
- NPI 1780975268
-
Fredric Alan Reyelts, MD
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1285687467
-
Denise Marie Skonieczny, R.N.
- Psychiatric/Mental Health Nurse Practitioner
- Grand Rapids, MI
- NPI 1528404761
-
Ayesha Syed, NP
- Nurse Practitioner
- Grand Rapids, MI
- NPI 1467809236
-
Deborah Banazak Wagenaar, D.O.
- Geriatric Psychiatry Physician
- East Lansing, MI
- NPI 1255315628
-
Haley Waterman, LMSW
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1407621337
-
Grace Wenk, MSW, MPA
- Clinical Social Worker
- Lowell, MI
- NPI 1316282023
-
Kristen M Zoetewey, MSW
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1073911608
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.