Teresa Reichart-vernon, Lscsw | |
10601 Kaw Dr Ste. B Edwardsville KS 66111-1130 | |
(913) 207-7674 | |
(913) 745-8040 |
Full Name | Teresa Reichart-vernon, Lscsw |
---|---|
Speciality | Counselor |
Location | 10601 Kaw Dr, Edwardsville, Kansas |
Authorized Official Name and Position | Teresa Reichart-vernon (OWNER) |
Authorized Official Contact | 9132077674 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Teresa Reichart-vernon, Lscsw 10601 Kaw Dr Ste. B Edwardsville KS 66111-1130 Ph: (913) 207-7674 | Teresa Reichart-vernon, Lscsw 10601 Kaw Dr Ste. B Edwardsville KS 66111-1130 Ph: (913) 207-7674 |
NPI Number | 1437468345 |
---|---|
Provider Enumeration Date | 09/27/2010 |
Last Update Date | 09/27/2010 |
Medicare PECOS PAC ID | 9931395357 |
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Medicare Enrollment ID | O20101124001016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437468345 | NPI | - | NPPES |
513729271 | Other | KS | MHNET |
831649000 | Other | KS | MAGELLAN |
513729271 | Other | KS | PHP |
513729271 | Other | KS | WELLPOINT |
100079970C | Medicaid | KS | |
36520013 | Other | KS | BLUE CROSS BLUE SHIELD |
513729271 | Other | KS | COVENTRY/FIRST HEALTH |
REICHART-VERNON | Other | KS | ENI/BMH |
513729271 | Other | KS | UBH |
513729271 | Other | KS | TRICARE |
513729271 | Other | KS | APS |
513729271 | Other | KS | LIFESYNCH |
563233 | Other | KS | VALUEOPTIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LSCSW 1463 (Kansas) | Primary |
Provider Name | Teresa Lynn Reichart-vernon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023074663 PECOS PAC ID: 9032125927 Enrollment ID: I20060301000792 |
Sjs Ventures, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 N 98th St, Edwardsville, KS 66111 Phone: 913-954-9114 |