| Eagle Healthworks Llc | |
|
14882 State Route 13 Thornville OH 43076-8954 | |
| (740) 688-6588 | |
| (740) 688-6589 |
| Full Name | Eagle Healthworks Llc |
|---|---|
| Speciality | Counselor |
| Location | 14882 State Route 13, Thornville, Ohio |
| Authorized Official Name and Position | Dennis Eagleeye (OWNER) |
| Authorized Official Contact | 7402270089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Healthworks Llc Po Box 894 Cambridge OH 43725-0894 Ph: (740) 242-2300 | Eagle Healthworks Llc 14882 State Route 13 Thornville OH 43076-8954 Ph: (740) 688-6588 |
| NPI Number | 1881248359 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 01/25/2022 |
| Certification Date | 02/12/2021 |
| Medicare PECOS PAC ID | 9638590656 |
|---|---|
| Medicare Enrollment ID | O20200529002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881248359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Laurian Mark Dean |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1043299274 PECOS PAC ID: 5890785349 Enrollment ID: I20040517000018 |
| Provider Name | Eric Fete |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013054980 PECOS PAC ID: 2860544103 Enrollment ID: I20090716000477 |
| Provider Name | Lynn A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902266174 PECOS PAC ID: 0042500720 Enrollment ID: I20160608001903 |
| Provider Name | Jennifer Ann Kunzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720434418 PECOS PAC ID: 4183912462 Enrollment ID: I20161019003118 |
| Provider Name | Courtenay Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386151363 PECOS PAC ID: 6002176716 Enrollment ID: I20180126002179 |
| Provider Name | Kashmere Lynnette Cooper-pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013588086 PECOS PAC ID: 2163810607 Enrollment ID: I20211102002045 |
| Provider Name | Brittney Vargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871119081 PECOS PAC ID: 9436560968 Enrollment ID: I20230501000673 |
| Provider Name | Angela Michelle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881817617 PECOS PAC ID: 2365800406 Enrollment ID: I20230621002385 |
Edwards Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14880 State Route 13, Thornville, OH 43076 Phone: 740-246-4963 | |
Eagle Healthworks Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14882 State Route 13, Thornville, OH 43076 Phone: 740-242-2300 Fax: 740-276-2727 | |
Eagle Healthworks Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14882 State Route 13, Thornville, OH 43076 Phone: 740-242-2300 Fax: 740-276-2727 |