Mr Theodore Gehrig, | |
427 A St Ste 400, Lincoln, CA 95648-1976 | |
(916) 408-6946 | |
(916) 645-3311 |
Full Name | Mr Theodore Gehrig |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 427 A St Ste 400, Lincoln, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962554360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LMFT45296 (California) | Primary |
Entity Name | Lumen Health And Psychological Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366978843 PECOS PAC ID: 5799012266 Enrollment ID: O20190806002444 |
Mailing Address | Practice Location Address |
---|---|
Mr Theodore Gehrig, 427 A St Ste 400, Lincoln, CA 95648-1976 Ph: (916) 645-3300 | Mr Theodore Gehrig, 427 A St Ste 400, Lincoln, CA 95648-1976 Ph: (916) 408-6946 |
Amanda Barthelmes, MMFT-TRAINEE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 Gateway Dr Ste 210, Lincoln, CA 95648 Phone: 916-645-3300 | |
Valerie Ledbetter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 Gateway Dr Ste 210, Lincoln, CA 95648 Phone: 916-645-3300 | |
Ms. Trinidad M Zavala, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 211 Cardini Ln, Lincoln, CA 95648 Phone: 510-612-1211 | |
Elvira Sylvia Marez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 427 A St Ste 400, Lincoln, CA 95648 Phone: 916-408-6943 | |
Ms. Eireann Elizabeth Smith, 106H00000X Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 Gateway Oaks Drive, Suite 210, Lincoln, CA 95648 Phone: 916-645-3300 | |
Yvonne Sinclair, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 898 5th Street, Suite E, Lincoln, CA 95648 Phone: 916-434-2877 Fax: 530-745-9767 | |
Ms. Marsha M. Rusby, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 279 Saddlehorn Loop, Lincoln, CA 95648 Phone: 925-336-1751 Fax: 925-210-0842 |