| Elmer Wiscovitch, | |
|
439 Sw Michigan St, Lake City, FL 32025-0440 | |
| (386) 487-0800 | |
| Not Available |
| Full Name | Elmer Wiscovitch |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 439 Sw Michigan St, Lake City, Florida |
| 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 |
|---|---|---|---|
| 1346851136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 21380 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mana Health Partners Pa | 3971952813 | 67 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Elmer Wiscovitch, 411 Nw 95th. Way, Gainesville, FL 32607 Ph: (352) 870-1526 | Elmer Wiscovitch, 439 Sw Michigan St, Lake City, FL 32025-0440 Ph: (386) 487-0800 |
Amber Brisa Moss, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 922 Sw Baya Dr, Lake City, FL 32025 Phone: 386-754-9005 Fax: 386-754-9017 | |
Darcy Pare, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 439 Sw Michigan St, Lake City, FL 32025 Phone: 352-374-5600 | |
Bethanne Mccarron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 439 Sw Michigan St, Lake City, FL 32025 Phone: 352-374-5600 | |
Marilyn Hamm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 439 Sw Michigan St, Lake City, FL 32025 Phone: 386-487-0800 | |
Pawel Lazarczyk, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 922 Sw Baya Dr, Lake City, FL 32025 Phone: 386-754-9005 | |
Shonda Latricia Hart-wright, LMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 439 Sw Michigan St, Lake City, FL 32025 Phone: 386-487-0800 | |
Mrs. Kimberly A Hunt, LMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 260 S Marion Ave Ste 135, Lake City, FL 32025 Phone: 386-697-8842 Fax: 386-406-8340 |