Mary Ott, | |
2860 Northpark Ave, Huntington, IN 46750-9700 | |
(260) 356-2875 | |
Not Available |
Full Name | Mary Ott |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2860 Northpark Ave, Huntington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609530211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34011087A (Indiana) | Primary |
Entity Name | The Otis R Bowen Center For Human Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
Mailing Address | Practice Location Address |
---|---|
Mary Ott, 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: (574) 267-7169 | Mary Ott, 2860 Northpark Ave, Huntington, IN 46750-9700 Ph: (260) 356-2875 |
Ms. Sally Eileen Herman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 552 N Jefferson, Huntington, IN 46750 Phone: 260-244-3427 | |
Mrs. Terra L Brunson-doll, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2860 Northpark Ave, Huntington, IN 46750 Phone: 260-356-2875 Fax: 260-356-0611 | |
Pamela Viletta Stover, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1740 E 67 N, Lot 57 B, Huntington, IN 46750 Phone: 219-386-3600 Fax: 219-386-3660 |