John Russell Elsasser, MSW, LCSW | |
118 N Sally Dr, Winamac, IN 46996-9100 | |
(574) 946-4233 | |
(574) 946-4365 |
Full Name | John Russell Elsasser |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 118 N Sally Dr, Winamac, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215283767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34003534A (Indiana) | Primary |
Entity Name | Porter-starke Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098 |
Mailing Address | Practice Location Address |
---|---|
John Russell Elsasser, MSW, LCSW 118 N Sally Dr, Winamac, IN 46996-9100 Ph: (574) 946-4233 | John Russell Elsasser, MSW, LCSW 118 N Sally Dr, Winamac, IN 46996-9100 Ph: (574) 946-4233 |
Timothy D Gearhart, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 840 S 25 W, Winamac, IN 46996 Phone: 574-242-0094 | |
Mr. Richard C Voorhees, LCSW, LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 118 N Sally Dr, Winamac, IN 46996 Phone: 574-946-4233 Fax: 574-946-4365 | |
Catherine Dywan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194 | |
Christine M Knapp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194 |