| Angela Marie Fox, CADACIV, ICAADC | |
|
706 Green Blvd, Aurora, IN 47001-1506 | |
| (812) 584-3615 | |
| (812) 720-3907 |
| Full Name | Angela Marie Fox |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 706 Green Blvd, Aurora, Indiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740763937 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleanslate Medical Group Of Kentucky Pllc | 4486909769 | 18 |
| Cleanslate Medical Group Of Indiana Llc | 4880963909 | 47 |
| Entity Name | Cleanslate Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538600630 PECOS PAC ID: 4486909769 Enrollment ID: O20180611002156 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Marie Fox, CADACIV, ICAADC 18051 River Rd Ste 101, Noblesville, IN 46062-7093 Ph: (317) 674-0062 | Angela Marie Fox, CADACIV, ICAADC 706 Green Blvd, Aurora, IN 47001-1506 Ph: (812) 584-3615 |
Kaitlyn Bailey, CADACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Green Blvd, Aurora, IN 47001 Phone: 812-727-3504 Fax: 812-727-3504 | |
Jeffrey Craven, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 112 Links Way, Aurora, IN 47001 Phone: 812-496-8785 Fax: 859-331-2425 | |
Jacqueline Marie Vinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Pruyn St, Aurora, IN 47001 Phone: 812-221-0546 | |
Mrs. Lori Ann James, BS, CADAC IV Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Green Blvd, Aurora, IN 47001 Phone: 812-290-7401 | |
Mrs. Shai Leann Bishop, MA, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 2nd St, Aurora, IN 47001 Phone: 513-544-1563 | |
Ms. Jamie M Daley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Washington St, Aurora, IN 47001 Phone: 812-954-5121 |