| Kyle W Brucke, LICSW | |
|
1965 Al Highway 157 Ste B, Cullman, AL 35058-0672 | |
| (256) 701-5651 | |
| (256) 429-9411 |
| Full Name | Kyle W Brucke |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 1965 Al Highway 157 Ste B, Cullman, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174146195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4294C (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Behavioral Health Inc | 7416194113 | 98 |
| Entity Name | Integrated Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle W Brucke, LICSW 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 288-3333 | Kyle W Brucke, LICSW 1965 Al Highway 157 Ste B, Cullman, AL 35058-0672 Ph: (256) 701-5651 |
Mr. James Lyle Hickman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 | |
Darcel King, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 | |
Bryan Ray Hill, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 213 Main Ave Nw, Cullman, AL 35055 Phone: 205-237-2376 | |
Katherine Kirkpatrick List, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Cherokee Ave Sw Ste A, Cullman, AL 35055 Phone: 256-775-8824 Fax: 256-775-8830 | |
Dana Wallace, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 | |
Gloria P Lott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 |