Beth Gerken, LISW | |
7320 State Highway 108, Wauseon, OH 43567-8200 | |
(419) 335-3732 | |
(419) 335-3462 |
Full Name | Beth Gerken |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7320 State Highway 108, Wauseon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992992135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | I.0008698 (Ohio) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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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Beth Gerken, LISW 7320 State Highway 108, Wauseon, OH 43567-8200 Ph: (419) 335-3732 | Beth Gerken, LISW 7320 State Highway 108, Wauseon, OH 43567-8200 Ph: (419) 335-3732 |
Emily Stockham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13850 County Road D, Wauseon, OH 43567 Phone: 567-454-0340 | |
George Boykin Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3491 State Route 108, Wauseon, OH 43567 Phone: 419-335-5533 | |
Lisette Schuette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 W Elm St, Wauseon, OH 43567 Phone: 419-337-0130 | |
Angie Ellen Burton, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7320 State Route 108 Ste A, Wauseon, OH 43567 Phone: 419-335-3732 | |
Mrs. Betty Jane Tingley, LSW Counselor Medicare: Medicare Enrolled Practice Location: 7320 State Highway 108, Suite A, Wauseon, OH 43567 Phone: 419-335-3723 Fax: 419-335-3462 | |
Sarah Domoe, IBCLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Pine St, Wauseon, OH 43567 Phone: 419-345-0902 | |
Mrs. Joy Dianne Fruchey, MSW, LSW, CTS Counselor Medicare: Accepting Medicare Assignments Practice Location: 1115 S Shoop Avenue, Wauseon, OH 43567 Phone: 419-335-6122 Fax: 419-318-4157 |