| John W Whiteside, | |
|
920 W Broadway St, Hobbs, NM 88240-5529 | |
| (575) 393-3168 | |
| (575) 397-4659 |
| Full Name | John W Whiteside |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 920 W Broadway St, Hobbs, New Mexico |
| 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 |
|---|---|---|---|
| 1174956619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Burke Center | 1254312077 | 29 |
| Entity Name | Burke Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396792420 PECOS PAC ID: 1254312077 Enrollment ID: O20040527000661 |
| Mailing Address | Practice Location Address |
|---|---|
| John W Whiteside, 920 W Broadway St, Hobbs, NM 88240-5529 Ph: (575) 393-3168 | John W Whiteside, 920 W Broadway St, Hobbs, NM 88240-5529 Ph: (575) 393-3168 |
Kathleen J Nestor-groves, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Jennifer Lee Ginanni, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Kristine Calderon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 | |
Mr. Brian Paul Arnold, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Nathalie Lejeune-smith, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Danny C Lyle Jr., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 |