| Brad Thayer, LPC, NCC, CCTP | |
|
7 Bisbee Rd, Bisbee, AZ 85603-1140 | |
| (520) 432-2042 | |
| Not Available |
| Full Name | Brad Thayer |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 7 Bisbee Rd, Bisbee, Arizona |
| 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 |
|---|---|---|---|
| 1275148694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-20916 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bisbee Hospital Association | 5092626168 | 69 |
| Entity Name | Bisbee Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Thayer, LPC, NCC, CCTP 7 Bisbee Rd, Bisbee, AZ 85603-1140 Ph: (520) 432-2042 | Brad Thayer, LPC, NCC, CCTP 7 Bisbee Rd, Bisbee, AZ 85603-1140 Ph: (520) 432-2042 |
Ernestina S Buck, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Subway St, Bisbee, AZ 85603 Phone: 520-227-3695 Fax: 855-568-6439 |
Ms. Carole Parent, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Moon Canyon, Bisbee, AZ 85603 Phone: 520-432-7150 |
Mrs. Jill Marie Killeen, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1326 W Highway 92 Ste J, Bisbee, AZ 85603 Phone: 520-432-7751 Fax: 520-432-3695 |
Cheryl Dehaven, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Howell Ave, Suite 11, Bisbee, AZ 85603 Phone: 520-678-5851 |
Mr. Robert W. Luigs, LISAC-10352 Counselor Medicare: Not Enrolled in Medicare Practice Location: 229a Tombstone Canyon, Bisbee, AZ 85603 Phone: 928-925-1557 |
A'nna Jurich, LCPC, LPC, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Bisbee Rd, Bisbee, AZ 85603 Phone: 520-423-2042 |
Faye Chapman Hoese, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 24 Howell Ave., Box 544, Bisbee, AZ 85603 Phone: 520-249-8061 Fax: 520-432-3585 |