| Mr Brad Mark Kercher, LCSW | |
|
3235 N Goshawk Way, Layton, UT 84040-7833 | |
| (989) 627-2758 | |
| Not Available |
| Full Name | Mr Brad Mark Kercher |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 3235 N Goshawk Way, Layton, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063782142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Renew Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548955479 PECOS PAC ID: 5698133726 Enrollment ID: O20230622001752 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brad Mark Kercher, LCSW 3235 N Goshawk Way, Layton, UT 84040-7833 Ph: (989) 627-2758 | Mr Brad Mark Kercher, LCSW 3235 N Goshawk Way, Layton, UT 84040-7833 Ph: (989) 627-2758 |
Kelley Diane Irmen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Michele Tanner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Jennifer Lynn Forbes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Curtis M. Tesch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Alison Coburn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1660 W Antelope Dr Ste 320, Layton, UT 84041 Phone: 801-773-4840 | |
Rod F Thornley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Emily Duffin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 |