Mrs Jennifer Ellen Taylor, PLMHP, PLADC | |
305 Foch St, Gordon, NE 69343-1709 | |
(308) 282-1101 | |
(308) 282-1372 |
Full Name | Mrs Jennifer Ellen Taylor |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 305 Foch St, Gordon, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295280766 | NPI | - | NPPES |
470734376-86 | Medicaid | NE | |
155804640 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P-1354 (Nebraska) | Primary |
Entity Name | Inspirit Counseling Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578922001 PECOS PAC ID: 1951832849 Enrollment ID: O20241002003189 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Ellen Taylor, PLMHP, PLADC 305 Foch St, Po Box 428, Gordon, NE 69343-1709 Ph: (308) 282-1101 | Mrs Jennifer Ellen Taylor, PLMHP, PLADC 305 Foch St, Gordon, NE 69343-1709 Ph: (308) 282-1101 |
Brett Weaver, PLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Foch St, Gordon, NE 69343 Phone: 308-282-1101 Fax: 308-282-1372 | |
Mr. Ronald Charles Felton, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Foch Street, Gordon, NE 69343 Phone: 308-282-1101 Fax: 308-282-1372 | |
Rebecca Anne Gallant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 N Main St, Gordon, NE 69343 Phone: 308-360-1080 | |
Mr. Victor Lee Gehrig, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Foch St, Gordon, NE 69343 Phone: 308-282-1101 Fax: 308-282-1372 |