| Adam Hewitt, | |
|
1107 Broadway St, Lamar, MO 64759-1758 | |
| (417) 682-5757 | |
| (417) 682-5757 |
| Full Name | Adam Hewitt |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1107 Broadway St, Lamar, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841666997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2015024167 (Missouri) | Primary |
| Entity Name | Full Health Wellness Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942865878 PECOS PAC ID: 3678971439 Enrollment ID: O20211007003287 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Hewitt, 1107 Broadway St, Lamar, MO 64759-1758 Ph: (417) 682-5757 | Adam Hewitt, 1107 Broadway St, Lamar, MO 64759-1758 Ph: (417) 682-5757 |
Mrs. Nancy Gayle Jamerson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Barton County Health Department, 1301 East 12th St., Lamar, MO 64759 Phone: 417-214-3966 | |
Amy Kaelke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1107 Broadway St, Lamar, MO 64759 Phone: 417-682-5757 Fax: 417-682-5757 | |
Stephanie M Breckenridge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 W 11th St, Lamar, MO 64759 Phone: 417-347-6475 |