Tierra Chappel, | |
380 Suwannee Trail St, Bowling Green, KY 42103-7956 | |
(270) 901-5000 | |
(270) 842-5268 |
Full Name | Tierra Chappel |
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Gender | Female |
Speciality | Social Worker |
Location | 380 Suwannee Trail St, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629637178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 255373 (Kentucky) | Secondary |
104100000X | Social Worker | 255373 (Kentucky) | Primary |
Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
Mailing Address | Practice Location Address |
---|---|
Tierra Chappel, 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 | Tierra Chappel, 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 |
Rebecca Woodrow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 Fax: 270-904-6570 | |
Mr. David Robert Rupsch Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 996 Wilkinson Trce, Suite A-4, Bowling Green, KY 42103 Phone: 270-904-1072 Fax: 270-904-1073 | |
Carolyn Kates-glass, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104 Phone: 270-392-5531 Fax: 270-393-9011 | |
Chelsey Reeves, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 | |
Londa Stockton, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 | |
Robert Justin Edmunds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Us 31w Byp, Bowling Green, KY 42101 Phone: 270-782-0120 | |
Jacqueline Nichole Felts, MSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1990 Louisville Rd Ste 107, Bowling Green, KY 42101 Phone: 270-904-0055 Fax: 270-904-5110 |