Mandy Lee Eisenberg, LCSW | |
141 Communication Dr, Hannibal, MO 63401-3670 | |
(573) 603-1460 | |
(573) 603-1462 |
Full Name | Mandy Lee Eisenberg |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 141 Communication Dr, Hannibal, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659931491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2021022069 (Missouri) | Primary |
1041C0700X | Social Worker - Clinical | 149023706 (Illinois) | Secondary |
Entity Name | Preferred Family Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230214000447 |
Mailing Address | Practice Location Address |
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Mandy Lee Eisenberg, LCSW 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 224-1210 | Mandy Lee Eisenberg, LCSW 141 Communication Dr, Hannibal, MO 63401-3670 Ph: (573) 603-1460 |
Amelia Melton, MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 141 Communication Dr, Hannibal, MO 63401 Phone: 573-603-1460 Fax: 573-603-1462 | |
Mr. Andrew Greening, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4355 Paris Gravel Rd, Hannibal, MO 63401 Phone: 573-248-3811 Fax: 573-248-3080 | |
Pamela Barrigar, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4600 Mcmasters Ave, Hannibal, MO 63401 Phone: 573-603-1460 Fax: 573-603-1462 | |
Katie L Elmore, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Communication Dr, Hannibal, MO 63401 Phone: 573-248-1196 Fax: 573-248-2159 | |
Michelle Calhoon, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 154 Forrest Dr, Hannibal, MO 63401 Phone: 573-221-2120 Fax: 573-221-4380 | |
Mrs. Carrie Eizenga Danner, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1221 Broadway, Hannibal, MO 63401 Phone: 573-221-2111 Fax: 573-221-2597 | |
Mr. John Robert Pruett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 146 Communication Dr, Hannibal, MO 63401 Phone: 573-248-1196 |