Luann Annette Gammon, LICSW | |
49725 County 83, Staples, MN 56479-5280 | |
(218) 894-1515 | |
(218) 894-8767 |
Full Name | Luann Annette Gammon |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 17 Years |
Location | 49725 County 83, Staples, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053630053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9493 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakewood Health System | 1052229671 | 78 |
Entity Name | Lakewood Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411 |
Mailing Address | Practice Location Address |
---|---|
Luann Annette Gammon, LICSW 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 | Luann Annette Gammon, LICSW 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 |
Kristal Roberts, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-8204 | |
Taylar Rose Lehmkuhl, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 | |
Kirstina Emans, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |