Hana Gilliom, | |
901 S Huntington St, Syracuse, IN 46567-1923 | |
(574) 457-4400 | |
Not Available |
Full Name | Hana Gilliom |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 901 S Huntington St, Syracuse, 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 |
---|---|---|---|
1639545783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adult And Child Mental Health Center Inc | 3678567898 | 2 |
Entity Name | Adult And Child Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154368512 PECOS PAC ID: 3678567898 Enrollment ID: O20050119000497 |
Mailing Address | Practice Location Address |
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Hana Gilliom, 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: () - | Hana Gilliom, 901 S Huntington St, Syracuse, IN 46567-1923 Ph: (574) 457-4400 |
Mr. Brandon Boyd, Counselor Medicare: Medicare Enrolled Practice Location: 901 S Huntington St, Syracuse, IN 46567 Phone: 800-342-5653 | |
Hope Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 S Huntington St, Syracuse, IN 46567 Phone: 574-457-4400 Fax: 574-457-4141 | |
Jamie Jacobs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 S Huntington St, Syracuse, IN 46567 Phone: 574-457-4400 Fax: 574-457-4141 | |
Maria Valeria Guzman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 S Huntington St, Syracuse, IN 46567 Phone: 574-457-4400 | |
Shane M. Bullick, MA Counselor Medicare: Medicare Enrolled Practice Location: 901 S Huntington St, Syracuse, IN 46567 Phone: 574-457-4400 | |
Stephen Gall, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 S Huntington St, Syracuse, IN 46567 Phone: 574-457-4400 Fax: 574-457-4141 | |
Alicia Nolan, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 S Huntington St, Syracuse, IN 46567 Phone: 574-457-4400 |