Angela Andeway, | |
110 E Main St, Ottumwa, IA 52501-2910 | |
(641) 682-8772 | |
(641) 682-1924 |
Full Name | Angela Andeway |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 110 E Main St, Ottumwa, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215352059 | NPI | - | NPPES |
1659353670 | Other | IA | BLUE CROSS BLUE SHIELD |
1659353670 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 072076 (Iowa) | Primary |
Entity Name | Rodasi Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467691790 PECOS PAC ID: 0749418630 Enrollment ID: O20171101002494 |
Mailing Address | Practice Location Address |
---|---|
Angela Andeway, 110 E Main St, Ottumwa, IA 52501-2910 Ph: (641) 682-8772 | Angela Andeway, 110 E Main St, Ottumwa, IA 52501-2910 Ph: (641) 682-8772 |
Mrs. Lori Lee Grim, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Bekki Jane Klodt, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 1117, Ottumwa, IA 52501 Phone: 641-243-5952 | |
Mrs. Suzette Kathryn Van Vark, LMHC, IADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Mark Gillman, BA, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Benjamin Lee Wyldes, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Joshua Huffine, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Hancock St, Ottumwa, IA 52501 Phone: 641-682-2800 Fax: 641-682-2826 | |
Mrs. Tiara Annette Perez, C.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St., Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 |