| Conner Elonich, | |
|
2600 Oakland Ave, Elkhart, IN 46517-1597 | |
| (574) 533-1234 | |
| (574) 537-2652 |
| Full Name | Conner Elonich |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 2600 Oakland Ave, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730842543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 33010494A (Indiana) | Primary |
| Entity Name | Oaklawn Psychiatric Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Conner Elonich, Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234 | Conner Elonich, 2600 Oakland Ave, Elkhart, IN 46517-1597 Ph: (574) 533-1234 |
Rachel Lauer, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
Emily Schrock, MSW Counselor Medicare: Medicare Enrolled Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
Bridget Ladewski, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
Rachel L Clemens, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
Autumn H. Whipple, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
Charmagne Alee Lafortune, M.S.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3120 Windsor Ct Ste B, Elkhart, IN 46514 Phone: 574-267-1700 | |
Rachel J Voth Schrag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 |