| The Chesnut Group Of Indiana | |
|
101 N Plaza East Blvd Ste 224 Evansville IN 47715-2806 | |
| (812) 221-2710 | |
| Not Available |
| Full Name | The Chesnut Group Of Indiana |
|---|---|
| Speciality | Social Worker |
| Location | 101 N Plaza East Blvd Ste 224, Evansville, Indiana |
| Authorized Official Name and Position | Theresa Chesnut (OWNER) |
| Authorized Official Contact | 8122212710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chesnut Group Of Indiana 101 N Plaza East Blvd Ste 224 Evansville IN 47715-2806 Ph: (812) 221-2710 | The Chesnut Group Of Indiana 101 N Plaza East Blvd Ste 224 Evansville IN 47715-2806 Ph: (812) 221-2710 |
| NPI Number | 1447983366 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 0244612398 |
|---|---|
| Medicare Enrollment ID | O20220805000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447983366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Courtney L Beitler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972189553 PECOS PAC ID: 9133536808 Enrollment ID: I20210324001903 |
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