Anthony D Jeffers, LCSW | |
119 W Market St, Columbia City, IN 46725-2311 | |
(260) 248-8176 | |
(260) 248-2366 |
Full Name | Anthony D Jeffers |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 119 W Market St, Columbia City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467423863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34000284A (Indiana) | Primary |
Entity Name | Park Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306897004 PECOS PAC ID: 5991794794 Enrollment ID: O20041213000226 |
Mailing Address | Practice Location Address |
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Anthony D Jeffers, LCSW 850 N Harrison St, Warsaw, IN 46580-3163 Ph: (574) 267-7169 | Anthony D Jeffers, LCSW 119 W Market St, Columbia City, IN 46725-2311 Ph: (260) 248-8176 |
Lavon Fletcher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 202 W Van Buren St, Ste F, Columbia City, IN 46725 Phone: 260-636-6884 Fax: 260-636-3392 | |
Pamela Connelly-castle, BA/BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2180 E Mowrey Rd, Columbia City, IN 46725 Phone: 260-705-7513 | |
Tina L Jagger, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 104 N Chauncey St, Columbia City, IN 46725 Phone: 260-244-6300 | |
Mary Cynthia Dygert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 W Market St, Columbia City, IN 46725 Phone: 260-248-8176 Fax: 260-248-2366 | |
David Lee Swineheart, MA, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 E Van Buren St, Suite 107, Columbia City, IN 46725 Phone: 260-750-4857 | |
Christy Garau, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 Diplomat Dr, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983 |