| Mary Gore, | |
|
1611 Jennifer St, Brighton, CO 80601 | |
| (615) 582-0582 | |
| Not Available |
| Full Name | Mary Gore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Location | 1611 Jennifer St, Brighton, Colorado |
| 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 |
|---|---|---|---|
| 1083354740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0017819 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thornwoodwellnessllc | 4284094137 | 17 |
| Entity Name | Thornwoodwellnessllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467153809 PECOS PAC ID: 4284094137 Enrollment ID: O20230724002901 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Gore, 1611 Jennifer St, Brighton, CO 80601 Ph: Not Available | Mary Gore, 1611 Jennifer St, Brighton, CO 80601 Ph: (615) 582-0582 |
Bryce Anders Baldwin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 Plum Creek Ct, Brighton, CO 80601 Phone: 720-362-9192 |
Tiffany Stewart, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1850 E Egbert St Ste 200, Brighton, CO 80601 Phone: 303-853-3500 |
Dave Gifford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6318 E 121st Pl, Brighton, CO 80602 Phone: 303-489-6217 |
Mac Dvorak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3966 Costillo Ct, Brighton, CO 80601 Phone: 856-562-8092 |
Jason Eric Brackett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 S 1st Ave, Brighton, CO 80601 Phone: 720-709-1013 |
Charles Deshazer, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 S 5th Ave, Suite D, Brighton, CO 80601 Phone: 303-655-9276 |
Mrs. Valerie Jean Bye Wolfe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 S 4th Ave, Brighton, CO 80601 Phone: 303-880-5270 |