| Taneja Rodgers, | |
|
10611 Nw Sr 20, Bristol, FL 32321 | |
| (850) 643-1033 | |
| Not Available |
| Full Name | Taneja Rodgers |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10611 Nw Sr 20, Bristol, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124633888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW14429 (Florida) | Primary |
| Entity Name | Manna Scholarship Fund, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083089239 PECOS PAC ID: 6709215817 Enrollment ID: O20201001003087 |
| Mailing Address | Practice Location Address |
|---|---|
| Taneja Rodgers, 2429 Sw State Road 14, Madison, FL 32340-4448 Ph: (850) 445-0504 | Taneja Rodgers, 10611 Nw Sr 20, Bristol, FL 32321 Ph: (850) 643-1033 |
Ivan Ricardo Lopez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11033 Nw State Road 20, Bristol, FL 32321 Phone: 850-643-1155 | |
Mrs. Charlotte H Shuler, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10584 Nw Azalea St, Bristol, FL 32321 Phone: 850-643-5551 Fax: 850-643-3446 | |
Christopher Bernard Anderson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12958 Nw Collins Hill Ln, Bristol, FL 32321 Phone: 850-643-7724 | |
Mrs. Jeanette Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12422 Nw G T Revell Rd, Bristol, FL 32321 Phone: 850-643-4600 Fax: 850-643-2061 | |
Elizabeth Stephanie Hofrichter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11033 Nw Sr 20, Bristol, FL 32321 Phone: 850-643-2292 Fax: 850-643-1163 | |
Damien Bentley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10611 Nw Sr 20, Bristol, FL 32321 Phone: 850-447-4546 Fax: 850-643-5066 |