| Aware Inc | |
|
205 E Park Ave Anaconda MT 59711-2340 | |
| (406) 563-8117 | |
| (406) 563-5956 |
| Full Name | Aware Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 E Park Ave, Anaconda, Montana |
| Authorized Official Name and Position | Leslie A York (BUSINESS OPERATIONS MANAGER) |
| Authorized Official Contact | 4065638117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aware Inc 205 E Park Ave Anaconda MT 59711-2340 Ph: (406) 563-8117 | Aware Inc 205 E Park Ave Anaconda MT 59711-2340 Ph: (406) 563-8117 |
| NPI Number | 1427003862 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Medicare PECOS PAC ID | 4284529348 |
|---|---|
| Medicare Enrollment ID | O20040224000994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427003862 | NPI | - | NPPES |
| 0502299 | Medicaid | MT | |
| 0290343 | Medicaid | MT | |
| 0320255 | Medicaid | MT | |
| 0047124 | Medicaid | MT | |
| 690812 | Medicaid | MT | |
| 92507255 | Medicaid | NM | |
| 0320331 | Medicaid | MT | |
| 0493119 | Medicaid | MT | |
| 000744813 | Other | MT | BCBS PRE-LIC'D PROFESSNLS |
| 0255374 | Medicaid | MT | |
| B3373 | Medicaid | NM | |
| 0350812 | Medicaid | MT | |
| NM600001 | Other | NM | VALUEOPTIONS VENDOR ID |
| Provider Name | Susan F Depasquale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063827202 PECOS PAC ID: 4183844871 Enrollment ID: I20140930003110 |
| Provider Name | Jill Dee Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720711567 PECOS PAC ID: 7517343023 Enrollment ID: I20221006003404 |
| Provider Name | Katherine T Bugni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093483968 PECOS PAC ID: 0547632655 Enrollment ID: I20230217000686 |
| Provider Name | Samantha Alicia Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285318394 PECOS PAC ID: 8628431855 Enrollment ID: I20230905003716 |
Carly Hillenbrand Aprn, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 E 7th St Ste 3a, Anaconda, MT 59711 Phone: 406-209-7777 | |
Sherri Bell, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 E 7th St, Anaconda, MT 59711 Phone: 406-560-3959 | |
Melissa Riley Counselingllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Cedar St, Anaconda, MT 59711 Phone: 406-560-2467 | |
Gypsy Ray Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 118 E 7th St Ste 2d, Anaconda, MT 59711 Phone: 406-880-0977 |