Eugene Van Every, LCSW | |
210 Hospital Cir, Choctaw, MS 39350-6781 | |
(601) 656-2211 | |
Not Available |
Full Name | Eugene Van Every |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 210 Hospital Cir, Choctaw, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639239270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CO307 (Mississippi) | Primary |
Entity Name | Mississippi Band Of Choctaw Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790865780 PECOS PAC ID: 4385546662 Enrollment ID: O20040126000871 |
Mailing Address | Practice Location Address |
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Eugene Van Every, LCSW 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 | Eugene Van Every, LCSW 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 |
Daphne Rochelle Holmes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4166 | |
Ms. Andrea Lewis, LPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4177 | |
Sharonica Hill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4150 Fax: 601-389-4152 | |
Patricia Cockrell Haynes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4150 Fax: 601-389-4152 |