| Miss Michelle L Tate, | |
|
118 E Court St, Paris, IL 61944-2210 | |
| (217) 465-4118 | |
| Not Available |
| Full Name | Miss Michelle L Tate |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 118 E Court St, Paris, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013229533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | 178006408 (Illinois) | Secondary |
| Entity Name | Assurasource Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Michelle L Tate, Po Box 1118, Paris, IL 61944-5118 Ph: (217) 465-4118 | Miss Michelle L Tate, 118 E Court St, Paris, IL 61944-2210 Ph: (217) 465-4118 |
Judy Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Court St, Paris, IL 61944 Phone: 217-465-4118 Fax: 217-463-1899 | |
Julie Kerz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 E Court St, Paris, IL 61944 Phone: 217-465-4118 Fax: 217-463-1899 | |
Amy Kessler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 E Court St, Paris, IL 61944 Phone: 217-465-4118 | |
Grayce Hightshoe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 E Court St, Paris, IL 61944 Phone: 217-465-4118 | |
Robert M Angus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Court St, Paris, IL 61944 Phone: 217-465-4118 Fax: 217-463-1899 | |
Rodrick Neeson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Court St, Paris, IL 61944 Phone: 217-465-4118 Fax: 217-463-1899 |