Mr Robert P Ouellette, | |
909 W 21st St, South Sioux City, NE 68776-2652 | |
(402) 412-4600 | |
Not Available |
Full Name | Mr Robert P Ouellette |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 909 W 21st St, South Sioux City, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366756371 | NPI | - | NPPES |
Entity Name | Siouxland Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952529950 PECOS PAC ID: 4688575251 Enrollment ID: O20040116000294 |
Mailing Address | Practice Location Address |
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Mr Robert P Ouellette, 625 Court St, Sioux City, IA 51101-1919 Ph: (712) 252-3871 | Mr Robert P Ouellette, 909 W 21st St, South Sioux City, NE 68776-2652 Ph: (402) 412-4600 |
Robyn L Watchorn Newbrey, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 E 39th St, South Sioux City, NE 68776 Phone: 402-494-0040 Fax: 402-494-0050 | |
Lisa Bye, Counselor Medicare: Medicare Enrolled Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776 Phone: 402-494-3337 Fax: 402-494-3356 | |
Carol J Maker, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 E 39th St, South Sioux City, NE 68776 Phone: 402-494-0040 Fax: 402-494-0050 | |
Bradley A Rowe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 917 W 21st St, South Sioux City, NE 68776 Phone: 402-494-3337 | |
Kelley J Polk, LIMHP,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 E 39th St, South Sioux City, NE 68776 Phone: 402-494-0040 Fax: 402-494-0050 | |
Mr. Gerald Lou Mayo Iii, MSW, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 917 W 21st St, South Sioux City, NE 68776 Phone: 402-494-3337 Fax: 402-494-3356 | |
Marit Westrich, Counselor Medicare: Medicare Enrolled Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776 Phone: 402-494-3337 |