Mr Patrick Anthony Tetrick, MS, LPC | |
1350 Spur Dr Ste 230, Marshfield, MO 65706-2196 | |
(417) 761-5900 | |
(417) 859-2645 |
Full Name | Mr Patrick Anthony Tetrick |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1350 Spur Dr Ste 230, Marshfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861823619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2013042527 (Missouri) | Primary |
Entity Name | Burrell, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
Mailing Address | Practice Location Address |
---|---|
Mr Patrick Anthony Tetrick, MS, LPC 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000 | Mr Patrick Anthony Tetrick, MS, LPC 1350 Spur Dr Ste 230, Marshfield, MO 65706-2196 Ph: (417) 761-5900 |
Daryl E Lace, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 104 E Madison St Ste 8, Marshfield, MO 65706 Phone: 417-840-3970 Fax: 417-859-4429 | |
Kara Heape, Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 W Jackson St, Marshfield, MO 65706 Phone: 417-234-2756 | |
Natasha L Corkins, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1350 Spur Dr Ste 230, Marshfield, MO 65706 Phone: 417-761-5900 Fax: 417-859-2645 | |
Patricia J Robbins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 W Jackson St, Marshfield, MO 65706 Phone: 417-840-3970 | |
Mr. Dennis Paul Billman, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 436 W Washington Street, Marshfield, MO 65706 Phone: 417-468-6741 | |
Julian E Lawson, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 W Hubble Dr, Marshfield, MO 65706 Phone: 417-859-7746 Fax: 417-859-7411 | |
John M Quinn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 E Madison St, Marshfield, MO 65706 Phone: 417-630-9295 Fax: 417-630-0190 |