Gary Owen Anderson, | |
777 S Main St Ste 100, Clinton, IN 47842-2493 | |
(765) 828-1003 | |
Not Available |
Full Name | Gary Owen Anderson |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 37 Years |
Location | 777 S Main St Ste 100, Clinton, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467089656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34008561A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Professionals Community Health Center Inc | 7618067265 | 60 |
Entity Name | Valley Professionals Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104006253 PECOS PAC ID: 7618067265 Enrollment ID: O20071219000487 |
Mailing Address | Practice Location Address |
---|---|
Gary Owen Anderson, 777 S Main St Ste 100, Clinton, IN 47842-2493 Ph: (765) 828-1003 | Gary Owen Anderson, 777 S Main St Ste 100, Clinton, IN 47842-2493 Ph: (765) 828-1003 |
Kasi Oxendine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 777 S Main St Ste 100, Clinton, IN 47842 Phone: 765-828-1003 | |
Tasha J Lewis Stevens, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 777 S Main St, Suite 100, Clinton, IN 47842 Phone: 765-828-1003 Fax: 765-828-1030 | |
Janet Mcbride, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 S Main St, Clinton, IN 47842 Phone: 765-832-2436 Fax: 765-832-2486 |