Sally Ann Primus, MSW, LCSW | |
3176 Lancer St, Suite 501, Portage, IN 46368 | |
(219) 762-9557 | |
(219) 762-7318 |
Full Name | Sally Ann Primus |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 27 Years |
Location | 3176 Lancer St, Portage, Indiana |
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 |
---|---|---|---|
1225228828 | NPI | - | NPPES |
10016380A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 99027928A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34006144A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Porter-starke Services Inc | 1951293554 | 32 |
Entity Name | Porter-starke Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098 |
Mailing Address | Practice Location Address |
---|---|
Sally Ann Primus, MSW, LCSW 3176 Lancer St, Portage, IN 46368 Ph: (219) 762-9557 | Sally Ann Primus, MSW, LCSW 3176 Lancer St, Suite 501, Portage, IN 46368 Ph: (219) 762-9557 |
Ashvin O Sheth, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3007 Cordele St, Portage, IN 46368 Phone: 219-762-3419 | |
Elise D Daxe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3176 Lancer St, Portage, IN 46368 Phone: 219-762-9557 | |
Ms. Lisette Haro, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3176 Lancer St, Portage, IN 46368 Phone: 219-763-8857 Fax: 219-762-7318 | |
Abby Collyard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2323 Mercury St, Portage, IN 46368 Phone: 219-809-8264 | |
Michelle Lynn Mcbrayer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380 | |
Mr. Brian H Dortmund, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 |