| Denise Briggs, Pc | |
|
1750 Kilbourn St Elkhart IN 46514-1920 | |
| (574) 296-2800 | |
| (574) 266-8066 |
| Full Name | Denise Briggs, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1750 Kilbourn St, Elkhart, Indiana |
| Authorized Official Name and Position | Denise Briggs (PRESIDENT) |
| Authorized Official Contact | 5742962800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Briggs, Pc 1750 Kilbourn St Elkhart IN 46514-1920 Ph: (574) 296-2800 | Denise Briggs, Pc 1750 Kilbourn St Elkhart IN 46514-1920 Ph: (574) 296-2800 |
| NPI Number | 1497195606 |
|---|---|
| Provider Enumeration Date | 07/02/2013 |
| Last Update Date | 07/02/2013 |
| Medicare PECOS PAC ID | 3476788670 |
|---|---|
| Medicare Enrollment ID | O20131023002359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497195606 | NPI | - | NPPES |
| 1265598569 | Other | IN | TYPE I NPI |
| 2005530390 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 57000137A (Indiana) | Primary |
| Provider Name | Denise Briggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265598569 PECOS PAC ID: 9133147861 Enrollment ID: I20131030000102 |
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