Bethany Renae Aubuchon, LCSW | |
1 Southtowne Dr, Potosi, MO 63664-5729 | |
(573) 438-9355 | |
Not Available |
Full Name | Bethany Renae Aubuchon |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1 Southtowne Dr, Potosi, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689275992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2017027968 (Missouri) | Primary |
Entity Name | Great Mines Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035 |
Mailing Address | Practice Location Address |
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Bethany Renae Aubuchon, LCSW 1286 Matthews Ln, Park Hills, MO 63601-7207 Ph: (573) 562-7751 | Bethany Renae Aubuchon, LCSW 1 Southtowne Dr, Potosi, MO 63664-5729 Ph: (573) 438-9355 |
Ms. Charlotte Ann Edelen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Purcell Rd, Suite B, Potosi, MO 63664 Phone: 573-438-9355 Fax: 573-438-7892 | |
Christine Marie Black, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Kwan Plz, Potosi, MO 63664 Phone: 573-438-0751 Fax: 573-438-5460 | |
Melissa Gail Benson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 573-438-8381 | |
Mrs. Terra Renee Graves, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 573-438-9355 | |
Melinda Kaye Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Kwan Plz, Potosi, MO 63664 Phone: 573-438-1899 Fax: 573-438-5460 | |
Carrie Marie Mercer, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Kwan Plz, Potosi, MO 63664 Phone: 573-438-5451 Fax: 573-438-0007 |