TELLIS COLT DONAJKOWSKI (NPI# 1790302255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790302255 |
| Entity Type | Individual |
| Full Name | TELLIS COLT DONAJKOWSKI |
| Credential | BA PSYCHOLOGY |
| Practice Address |
500 Hancock St Saginaw MI 48602-4224 |
| Practice Telephone | 9897973400 |
| Practice Fax Number | 9897990206 |
| Mailing Telephone | 9897973400 |
| Mailing Fax Number | 9897990206 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | MI | Other Service Providers |
| Street Address |
500 HANCOCK ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313435 | Genoa Healthcare LLC | Durable Medical Equipment & Medical Supplies | 500 Hancock St, Ste 100, Saginaw, MI 48602-4224 | 2006-06-13 |
| 1639779911 | Samantha Erin Tenut | Registered Nurse | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-27 |
| 1417556663 | Daysha Reese | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-20 |
| 1780282442 | Stephanie Lynn Mumby | Dietitian, Registered | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-15 |
| 1609493485 | Rosa L Davis | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-29 |
| 1124642301 | Jessica Gayle Szikszay | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-03 |
| 1912528407 | Treasa Linsay Ross | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-06 |
| 1174144836 | Alexandria Sharon | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
| 1548881212 | Marie E Berg | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
| 1881220051 | Teresa L Dominique Nicholson | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548712953 | Kirsten Bierlein-hollenback | Case Manager/Care Coordinator | 1000 Tuscola St, Saginaw, MI 48607-1421 | 2016-11-02 |
| 1518227362 | James Randy Sharon | Case Manager/Care Coordinator | 3830 Lamson St, Saginaw, MI 48601-4169 | 2012-05-25 |
| 1295091577 | Julie Ann Bitterman | Case Manager/Care Coordinator | 500 Hancock St., Saginaw, MI 48602 | 2012-04-11 |
| 1164795449 | Graden Provision of Promise Outreach Org | Case Manager/Care Coordinator | 2421 Sheridan Ave, Saginaw, MI 48601-3613 | 2012-02-16 |
| 1033405295 | Elissa Yvonne Beckham | Case Manager/Care Coordinator | 1149 Highland Station Dr, Saginaw, TX 76131-4825 | 2011-06-24 |
| 1346853173 | Miranda Croucher | Case Manager/Care Coordinator | 3353 Hospital Rd, Saginaw, MI 48603-9622 | 2020-08-31 |
| 1669099818 | Ashley Thornton | Case Manager/Care Coordinator | 3353 Hospital Rd, Saginaw, MI 48603-9622 | 2020-07-02 |
| 1609493485 | Rosa L Davis | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-29 |
| 1801416342 | Ella Marie Bost | Case Manager/Care Coordinator | 500 S Hamilton St, Saginaw, MI 48602-1511 | 2020-04-24 |
| 1437779188 | Marcie Ann Kolhagen | Case Manager/Care Coordinator | 500 S Hamilton St, Saginaw, MI 48602-1511 | 2020-04-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.