| Kelly A Kugler, LMHC | |
|
1940 Harrison Ave, Panama City, FL 32405-4542 | |
| (850) 763-0017 | |
| Not Available |
| Full Name | Kelly A Kugler |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 1940 Harrison Ave, Panama City, Florida |
| 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 |
|---|---|---|---|
| 1043653421 | NPI | - | NPPES |
| 008497100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11768 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluewater Behavioral Health, Inc. | 3274873435 | 9 |
| Krueger Wellness Institute Inc | 6406279348 | 3 |
| Entity Name | Bluewater Behavioral Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922562628 PECOS PAC ID: 3274873435 Enrollment ID: O20190326000623 |
| Entity Name | Krueger Wellness Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518526144 PECOS PAC ID: 6406279348 Enrollment ID: O20200709003661 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly A Kugler, LMHC 1940 Harrison Ave, Panama City, FL 32405-4542 Ph: (850) 763-0017 | Kelly A Kugler, LMHC 1940 Harrison Ave, Panama City, FL 32405-4542 Ph: (850) 763-0017 |
Angela Gruber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-522-4484 | |
Cheryl Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-522-4484 | |
Anita Losoya-evon, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
Sakeena Powe, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
Samantha Ashley Morrison, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 | |
Ms. Jeanie J. Wolter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 648 Florida Ave, Panama City, FL 32401 Phone: 850-769-6001 Fax: 850-769-6003 | |
Kelly Bennett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001 |