Jason Shane Webb, | |
1770 Cedar St, Rockledge, FL 32955-3133 | |
(321) 890-1500 | |
Not Available |
Full Name | Jason Shane Webb |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1770 Cedar St, Rockledge, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447599048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH10253 (Florida) | Primary |
Entity Name | Circles Of Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215345954 PECOS PAC ID: 8729069380 Enrollment ID: O20040528000379 |
Mailing Address | Practice Location Address |
---|---|
Jason Shane Webb, 400 E Sheridan Rd, Melbourne, FL 32901-3184 Ph: () - | Jason Shane Webb, 1770 Cedar St, Rockledge, FL 32955-3133 Ph: (321) 890-1500 |
Julia Diane St. Clair, MS, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 Admiralty Blvd, Rockledge, FL 32955 Phone: 321-345-0878 | |
Ms. Roberta Van Dusen, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-890-1500 | |
Kristine Panning, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-637-7753 | |
Ms. Penny Louise Potter, SUDCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1770 Cedar St., Rockledge, FL 32955 Phone: 321-890-1500 Fax: 707-526-0527 | |
Marla Veit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1037 Pathfinder Way Ste 130, Rockledge, FL 32955 Phone: 321-693-5432 | |
Pamela A Homer, APRN Counselor Medicare: Accepting Medicare Assignments Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-890-1500 | |
Elizabeth Polomsky, RMHCI Counselor Medicare: Medicare Enrolled Practice Location: 7095 Turner Rd, Rockledge, FL 32955 Phone: 321-446-2113 Fax: 321-241-4605 |