| Jack W Luadzers, PHD | |
|
1708 Taft Rd., Apt#4, Aberdeen, WA 98520 | |
| (509) 290-9519 | |
| (803) 343-5400 |
| Full Name | Jack W Luadzers |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 30 Years |
| Location | 1708 Taft Rd., Apt#4, Aberdeen, Washington |
| 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 |
|---|---|---|---|
| 1992921712 | NPI | - | NPPES |
| 571027762 | Other | SC | TAX ID # |
| 874 | Other | SC | LPC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60459225 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richard P Brooks Jr Arnp Inc | 7719304203 | 10 |
| Entity Name | Richard P Brooks Jr Arnp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659914000 PECOS PAC ID: 7719304203 Enrollment ID: O20201102000843 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack W Luadzers, PHD 1708 Taft Rd., Apt#4, Aberdeen, WA 98520 Ph: (803) 771-9300 | Jack W Luadzers, PHD 1708 Taft Rd., Apt#4, Aberdeen, WA 98520 Ph: (509) 290-9519 |
Kelli Alexander, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Simpson Ave Ste 101, Aberdeen, WA 98520 Phone: 360-612-0012 Fax: 360-532-0670 | |
Erin Pickar, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 E 1st St, Aberdeen, WA 98520 Phone: 360-350-4010 | |
Michael William Bromley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 E Wishkah St, Aberdeen, WA 98520 Phone: 360-556-8544 | |
Nicholas W Peters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Simpson Ave, Aberdeen, WA 98520 Phone: 360-612-0012 Fax: 360-352-0670 | |
Veronica Xena Rose Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 W State St Ste 206, Aberdeen, WA 98520 Phone: 360-589-9068 Fax: 360-637-9132 | |
Brittany Jean Valentine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 W State St, Aberdeen, WA 98520 Phone: 360-612-3839 Fax: 360-637-9132 | |
Rachael Rogan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Simpson Ave, Aberdeen, WA 98520 Phone: 360-612-0012 Fax: 360-577-0187 |