| Mr Jason Glenn Tucker, LMHC | |
|
2711 W. 15th Street,, Florida Therapy Services,, Panama City, FL 32401 | |
| (850) 545-5941 | |
| Not Available |
| Full Name | Mr Jason Glenn Tucker |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 28 Years |
| Location | 2711 W. 15th Street,, Panama City, Florida |
| 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 |
|---|---|---|---|
| 1194073601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH12402 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Panhandle Therapy Center Llc | 0446672489 | 2 |
| Entity Name | Cotler Healthcare & Development Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075 |
| Entity Name | Panhandle Therapy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457981888 PECOS PAC ID: 0446672489 Enrollment ID: O20200622001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Glenn Tucker, LMHC 2711 W. 15th Street,, Florida Therapy Services,, Panama City, FL 32401 Ph: (850) 545-5941 | Mr Jason Glenn Tucker, LMHC 2711 W. 15th Street,, Florida Therapy Services,, Panama City, FL 32401 Ph: (850) 545-5941 |
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 |