| Mary Schappell, Llc | |
|
111 Longwood Dr Sw Huntsville AL 35801-4522 | |
| (256) 534-8161 | |
| (256) 534-8161 |
| Full Name | Mary Schappell, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 111 Longwood Dr Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Tracy Wilson (BILLING MANAGER) |
| Authorized Official Contact | 2565348161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Schappell, Llc 111 Longwood Dr Sw Huntsville AL 35801-4522 Ph: (256) 534-8161 | Mary Schappell, Llc 111 Longwood Dr Sw Huntsville AL 35801-4522 Ph: (256) 534-8161 |
| NPI Number | 1083499487 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 6507217767 |
|---|---|
| Medicare Enrollment ID | O20240111004265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083499487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary F. Schappell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982204277 PECOS PAC ID: 8628466893 Enrollment ID: I20211021001557 |
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