Loretta E Buckwalter, | |
4401 Ridgewood Rd W, Springfield, OH 45503-6131 | |
(937) 532-3379 | |
Not Available |
Full Name | Loretta E Buckwalter |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4401 Ridgewood Rd W, Springfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194337022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | I.0008495-SUPV (Ohio) | Primary |
Entity Name | Chrysalis Health Ohio, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003302886 PECOS PAC ID: 0941610919 Enrollment ID: O20201102002379 |
Mailing Address | Practice Location Address |
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Loretta E Buckwalter, 4401 Ridgewood Rd W, Springfield, OH 45503-6131 Ph: (937) 532-3379 | Loretta E Buckwalter, 4401 Ridgewood Rd W, Springfield, OH 45503-6131 Ph: (937) 532-3379 |
Ms. Ellen Stickney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1835 Miracle Mile, Springfield, OH 45503 Phone: 937-390-7960 Fax: 937-390-7971 | |
Timothy Yi Ling, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 N Yellow Springs St, Springfield, OH 45504 Phone: 937-399-9500 Fax: 937-342-4242 | |
Miss Janet Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1345 N Fountain Blvd, Springfield, OH 45504 Phone: 937-399-9500 Fax: 937-399-2701 | |
Mrs. Angela Marie Pumphrey, MSW, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 474 N Yellow Springs St, Springfield, OH 45504 Phone: 937-390-8004 | |
Debra Ann Zendlovitz, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1130 Vester Ave, Suite C, Springfield, OH 45503 Phone: 937-390-3800 Fax: 937-390-3804 | |
Ms. Nancy Kaye Allen, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 474 N Yellow Springs St, Springfield, OH 45504 Phone: 937-399-9500 Fax: 937-342-4242 | |
Marolyn Whaley-buckel, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1130 Vester Ave, Suite C, Springfield, OH 45503 Phone: 937-390-3800 Fax: 937-390-3804 |