Charles Randel Bugh, | |
609 Spurgeon St, Salem, IN 47167-1655 | |
(812) 279-3591 | |
Not Available |
Full Name | Charles Randel Bugh |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 609 Spurgeon St, Salem, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073788758 | NPI | - | NPPES |
39000805A | Other | IN | MENTAL HEALTH COUNSELOR LICENSE |
072460 | Other | IN | SIHO PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39000805A (Indiana) | Primary |
Entity Name | Southern Indiana Community Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541 |
Mailing Address | Practice Location Address |
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Charles Randel Bugh, 609 Spurgeon St, Salem, IN 47167-1655 Ph: (812) 279-3591 | Charles Randel Bugh, 609 Spurgeon St, Salem, IN 47167-1655 Ph: (812) 279-3591 |
Karen S Weesner, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 S Jackson St, Salem, IN 47167 Phone: 812-883-3095 Fax: 812-883-4405 | |
Jennifer Garvin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4700 W Kansas Church Rd, Salem, IN 47167 Phone: 502-727-9921 | |
Laura Janese Brister, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 N Jim Day Rd, Salem, IN 47167 Phone: 812-650-7215 | |
Deirdre Jean Miller, CADAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 N Jim Day Rd Ste 109, Salem, IN 47167 Phone: 812-620-6170 | |
Ms. Maria P. Burks, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Jeans Dr, Salem, IN 47167 Phone: 812-883-4877 Fax: 812-883-3886 | |
Dr. Lucinda Emily Woodward, PH.D. Counselor Medicare: Medicare Enrolled Practice Location: 3358 W Vincennes Trl, Salem, IN 47167 Phone: 812-883-2594 |