| Marc Kepner Llc | |
|
9224 Nw 59th Ln Gainesville FL 32653-2880 | |
| (352) 226-8210 | |
| Not Available |
| Full Name | Marc Kepner Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9224 Nw 59th Ln, Gainesville, Florida |
| Authorized Official Name and Position | Marc D Kepner (MGRM) |
| Authorized Official Contact | 3522268210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Kepner Llc 9224 Nw 59th Ln Gainesville FL 32653-2880 Ph: (352) 226-8210 | Marc Kepner Llc 9224 Nw 59th Ln Gainesville FL 32653-2880 Ph: (352) 226-8210 |
| NPI Number | 1003257189 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Medicare PECOS PAC ID | 8022244789 |
|---|---|
| Medicare Enrollment ID | O20131202001249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003257189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8035 (Florida) | Primary |
| Provider Name | Marc D Kepner |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1477709996 PECOS PAC ID: 8123195351 Enrollment ID: I20131202001362 |
| Provider Name | Marc D Kepner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477709996 PECOS PAC ID: 8123195351 Enrollment ID: I20200625002158 |
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