Mr Jye L Breckenridge, MSW, LISW-S | |
3400 N High St, Suite 120, Columbus, OH 43202-1142 | |
(614) 282-1818 | |
(614) 358-0218 |
Full Name | Mr Jye L Breckenridge |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3400 N High St, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518284801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.0800068-SUPV (Ohio) | Primary |
Entity Name | Syntero Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588619852 PECOS PAC ID: 8224020466 Enrollment ID: O20040330001521 |
Mailing Address | Practice Location Address |
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Mr Jye L Breckenridge, MSW, LISW-S 3400 N High St, Suite 120, Columbus, OH 43202-1142 Ph: (614) 282-1818 | Mr Jye L Breckenridge, MSW, LISW-S 3400 N High St, Suite 120, Columbus, OH 43202-1142 Ph: (614) 282-1818 |
Andrea L Goehring, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Bethel Rd, Columbus, OH 43220 Phone: 614-442-0664 Fax: 614-442-0620 | |
Mr. Dale James Smith, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 N High St, Columbus, OH 43201 Phone: 614-299-6600 Fax: 614-298-2224 | |
Abbe M Straw, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 918 S Front St, Columbus, OH 43206 Phone: 614-445-8277 | |
Paul Parker Wilkinson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 N 4th St, Columbus, OH 43202 Phone: 614-432-2273 | |
Elenice Gomes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Sullivant Ave, Columbus, OH 43222 Phone: 614-752-0333 Fax: 614-995-3268 | |
Hope Anthony, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 527 S High St, Columbus, OH 43215 Phone: 614-227-9444 | |
Mary Evans, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6503 E Broad St, Columbus, OH 43213 Phone: 614-355-8160 Fax: 614-355-8180 |