| Dr Michael Shane Bermes, LCSW | |
|
120 Scott Ln, Jonesborough, TN 37659-1526 | |
| (727) 518-5890 | |
| Not Available |
| Full Name | Dr Michael Shane Bermes |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 120 Scott Ln, Jonesborough, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285253005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW12174 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904009600 (Virginia) | Primary |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Shane Bermes, LCSW 120 Scott Ln, Jonesborough, TN 37659-1526 Ph: (727) 518-5890 | Dr Michael Shane Bermes, LCSW 120 Scott Ln, Jonesborough, TN 37659-1526 Ph: (727) 518-5890 |
Ms. Inger Buchanan Blanton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Heritage Ct, Jonesborough, TN 37659 Phone: 423-913-3036 | |
Mrs. Jeanna Lee Kovac, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 1/2 E. Main St., Jonesborough, TN 37659 Phone: 423-737-3919 | |
Ms. Nichole Adriana Chapin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 W Jackson Blvd, Apt 13, Jonesborough, TN 37659 Phone: 865-322-1590 | |
Melissa Varrecchia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Armstrong Hill Rd, Jonesborough, TN 37659 Phone: 978-482-6581 |