Ms E Diane Thomas, MS, LCSW | |
509 W Washington Blvd, Fort Wayne, IN 46802-2917 | |
(260) 422-3034 | |
(260) 422-3691 |
Full Name | Ms E Diane Thomas |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 49 Years |
Location | 509 W Washington Blvd, Fort Wayne, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588682116 | NPI | - | NPPES |
000000183262 | Other | IN | BC-BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 34002561A (Indiana) | Primary |
101YM0800X | Counselor - Mental Health | 35001087A (Indiana) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Edt, Inc. | 7810176914 | 2 |
Entity Name | Edt, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326111444 PECOS PAC ID: 7810176914 Enrollment ID: O20110121000062 |
Mailing Address | Practice Location Address |
---|---|
Ms E Diane Thomas, MS, LCSW 509 W Washington Blvd, Fort Wayne, IN 46802-2917 Ph: (260) 422-3034 | Ms E Diane Thomas, MS, LCSW 509 W Washington Blvd, Fort Wayne, IN 46802-2917 Ph: (260) 422-3034 |
Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 | |
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289 | |
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709 | |
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618 | |
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500 | |
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778 | |
Rachida Bejja, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10828 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-415-8267 Fax: 260-426-0270 |