Jacqueline Ebel, | |
118 N 2nd Ave, Sheldon, IA 51201-1039 | |
(712) 262-2922 | |
Not Available |
Full Name | Jacqueline Ebel |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 118 N 2nd Ave, Sheldon, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851906184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Elevate Therapy & Assessment, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568092195 PECOS PAC ID: 6709213507 Enrollment ID: O20200217000529 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Ebel, 280 Heritage Park Rd, Primghar, IA 51245-1033 Ph: (712) 441-2305 | Jacqueline Ebel, 118 N 2nd Ave, Sheldon, IA 51201-1039 Ph: (712) 262-2922 |
Mr. Robert Mouw Wiersma, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1022 3rd Ave, Sheldon, IA 51201 Phone: 712-324-8385 | |
Angela Dawn Brownfield, IADC, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 N 2nd Ave, Sheldon, IA 51201 Phone: 712-363-0343 Fax: 712-264-9302 | |
Rebecca Marie Erdmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Sheldon, IA 51201 Phone: 712-324-5356 |