| Charles Pickering, CT | |
|
950 Meadow Dr, Mount Gilead, OH 43338-1389 | |
| (419) 949-2000 | |
| Not Available |
| Full Name | Charles Pickering |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 950 Meadow Dr, Mount Gilead, Ohio |
| 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 |
|---|---|---|---|
| 1902307432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C.1700541-TRNE (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Inc | 8426014853 | 33 |
| Entity Name | Southeast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932169497 PECOS PAC ID: 8426014853 Enrollment ID: O20041207000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Pickering, CT 4300 Beard Rd, Sunbury, OH 43074-8998 Ph: (740) 816-2287 | Charles Pickering, CT 950 Meadow Dr, Mount Gilead, OH 43338-1389 Ph: (419) 949-2000 |
Amanda S Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Neal Ave, Mount Gilead, OH 43338 Phone: 614-445-8131 | |
Bobbie Jo Mceldowney, CDCA, QMHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Neal Ave, Mount Gilead, OH 43338 Phone: 419-946-6734 | |
Lisa Zimmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Meadow Dr, Suite C, Mount Gilead, OH 43338 Phone: 419-947-4055 Fax: 419-947-4285 | |
Makenzie Ricker, MSW;LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W High St, Mount Gilead, OH 43338 Phone: 419-569-5736 Fax: 740-383-3472 | |
Michael Hall Mcgrady, LISW, LICDC Counselor Medicare: May Accept Medicare Assignments Practice Location: 950 Meadow Dr, Suite A, Mount Gilead, OH 43338 Phone: 419-947-4560 | |
Lori J Depinet-spears, LISW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Meadow Dr Ste C, Mount Gilead, OH 43338 Phone: 419-947-4055 Fax: 419-947-4285 | |
Allisun Lauthers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Meadow Dr, Mount Gilead, OH 43338 Phone: 419-949-2000 |