Mr Russell Lin Hogan, MS, LPC, CASAC | |
1300 E Bradford Pkwy, Springfield, MO 65804-4264 | |
(417) 269-5400 | |
(417) 269-7212 |
Full Name | Mr Russell Lin Hogan |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1300 E Bradford Pkwy, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750569158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2007002469 (Missouri) | Primary |
Entity Name | Region Ten State Of Ms |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073626511 PECOS PAC ID: 4284605353 Enrollment ID: O20040803000571 |
Mailing Address | Practice Location Address |
---|---|
Mr Russell Lin Hogan, MS, LPC, CASAC 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 269-5400 | Mr Russell Lin Hogan, MS, LPC, CASAC 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 269-5400 |
Mrs. Rebecca J Barratt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2131 S Eastgate Ave, Springfield, MO 65809 Phone: 417-763-3309 Fax: 417-763-3331 | |
Mrs. Lori Renee Radford, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 E Walnut St, Springfield, MO 65806 Phone: 417-459-2117 | |
Stephanie J Robbins, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1350 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5850 | |
Brian Vega, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 E Sunshine St, Ste W-29, Springfield, MO 65804 Phone: 417-887-9950 Fax: 417-888-0226 | |
Linda L. Britt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 W Republic Rd Ste G100, Springfield, MO 65807 Phone: 417-862-8282 Fax: 417-862-8805 | |
Ms. Jessica Ann Heavin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 E Sunshine St Ste 338, Springfield, MO 65804 Phone: 417-823-8000 Fax: 417-823-9334 | |
Angie Fitzpatrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 W Elfindale St, Springfield, MO 65807 Phone: 417-864-7921 |