| Erin Tagge, | |
|
175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | |
| (336) 718-3550 | |
| (336) 277-6981 |
| Full Name | Erin Tagge |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 20 Years |
| Location | 175 Kimel Park Dr Ste 100, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023433125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10230 (North Carolina) | Primary |
| 101Y00000X | Counselor | A10230 (North Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Certus Psychiatry And Integrated Care Pllc | 0244506756 | 15 |
| Entity Name | Certus Psychiatry And Integrated Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609317569 PECOS PAC ID: 0244506756 Enrollment ID: O20171030000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Tagge, 8313 Knight Village Cir, Stokesdale, NC 27357-9280 Ph: () - | Erin Tagge, 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 Ph: (336) 718-3550 |
Timothy Carl Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Highland Ave, Winston Salem, NC 27101 Phone: 336-607-8523 | |
Keren Happuch Williams, LCMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103 Phone: 336-718-7250 Fax: 336-718-7260 | |
Amy Bowden, LCSWA Counselor Medicare: Accepting Medicare Assignments Practice Location: 665 W 4th St, Winston Salem, NC 27101 Phone: 336-725-8389 Fax: 336-725-6628 | |
Chelsea Baldwin Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7670 N Point Ct, Winston Salem, NC 27106 Phone: 855-362-8470 Fax: 704-362-8464 | |
Mrs. Amy Kolb Shuman, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Holly Ave, Winston Salem, NC 27101 Phone: 336-725-3999 | |
Amanda Grace Connelly, Counselor Medicare: Accepting Medicare Assignments Practice Location: 4140 Cherry St, Winston Salem, NC 27105 Phone: 336-306-9620 | |
Lesa Arnold Chesson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4265 Brownsboro Rd, Suite 214, Winston Salem, NC 27106 Phone: 336-896-0022 |