Individual provider Active NPI

Mark E Kraynak, ACSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1710039516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MK065692 Issued in MI
Practice address
3340 Hospital Rd
Saginaw, MI 48603-9622
Phone
(989) 790-7700
Fax
(989) 964-5008
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MK065692 MI Primary

Addresses

Primary practice location

3340 Hospital Rd
Saginaw, MI 48603-9622

Mailing address

3340 Hospital Rd
Saginaw, MI 48603-9622
Phone (989) 790-7700

Other identifiers 1

IdentifierTypeStateIssuer
0996581OtherMIHEALTHPLUS OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000133 MI Practitioner - Clinical Social Worker 4082646807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope for Wellness LLCGroup PAC ID 7911371653, 2 clinicians

Practice addresses (Care Compare)

3350 Shattuck Rd
Suite 3
Saginaw, MI 48603-3287
Phone (989) 244-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MK065692MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource Saginaw Inc CurrentSince Jul 18, 2000 Accepting new patients
Hope for Wellness LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

3340 Hospital Rd
Saginaw, MI 48603
Phone (989) 790-7700

3350 Shattuck Rd
Ste 3
Saginaw, MI 48603
Phone (989) 244-0090

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710039516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-790-7700",
            "fax_number": "989-964-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-790-7700",
            "fax_number": "989-964-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYNAK",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "MK065692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "0996581",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.