Mr Eduardo V Pereira, LCSW | |
101 S Washington St, Suite 200, Marion, IN 46952-3867 | |
(765) 662-9971 | |
(765) 651-6566 |
Full Name | Mr Eduardo V Pereira |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 47 Years |
Location | 101 S Washington St, Marion, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528117769 | NPI | - | NPPES |
000000004027 | Other | IN | MPLAN PROV ID |
158079 | Other | IN | VALUE OPTIONS PROV ID |
0005477491 | Other | IN | AETNA PROVIDER ID |
088367428001 | Other | IN | GENERAL LIC # |
I014647 | Other | IN | TRICARE PROVIDER ID |
000000183231 | Other | IN | ANTHEM PROVIDER ID |
LIC34001263A | Other | IN | GENERAL MOTORS PROV ID |
000000317611 | Other | IN | GENCORP PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34001263A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grant-blackford Mental Health, Inc. | 9739177528 | 12 |
Entity Name | Grant-blackford Mental Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407848500 PECOS PAC ID: 9739177528 Enrollment ID: O20040607001089 |
Mailing Address | Practice Location Address |
---|---|
Mr Eduardo V Pereira, LCSW 1814 W 500 N, Marion, IN 46952-9107 Ph: (765) 664-7364 | Mr Eduardo V Pereira, LCSW 101 S Washington St, Suite 200, Marion, IN 46952-3867 Ph: (765) 662-9971 |
Mr. Stephen Edgar Sheets, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Attn: Social Work, Marion, IN 46953 Phone: 800-498-8792 | |
Jeanette R Hoeksema, PSYD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1391 N Baldwin Ave Ste 200, Marion, IN 46952 Phone: 765-660-7900 Fax: 765-671-7751 | |
Jennifer K Queen-russell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-662-6726 | |
Sheri Proffitt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-668-6718 | |
Benjamin C Keplar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 Fax: 765-677-5117 | |
Sarah Albert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-668-6726 | |
Mr. Robert M. Taylor, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 Fax: 765-677-5151 |