Mrs Jane Prine, | |
902 S 6th St, Council Bluffs, IA 51501-6441 | |
(712) 325-1990 | |
Not Available |
Full Name | Mrs Jane Prine |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 902 S 6th St, Council Bluffs, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952632614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 604 (Nebraska) | Primary |
Entity Name | Mak Development, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831839646 PECOS PAC ID: 1951835859 Enrollment ID: O20241114003428 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jane Prine, 902 S 6th St, Council Bluffs, IA 51501-6441 Ph: (712) 325-1990 | Mrs Jane Prine, 902 S 6th St, Council Bluffs, IA 51501-6441 Ph: (712) 325-1990 |
Monica S Meier, PMHP, PMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 E. Broadway, Council Bluffs, IA 51503 Phone: 712-322-1407 Fax: 712-322-6833 | |
Ashley Peregrine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2912 9th Ave, Council Bluffs, IA 51501 Phone: 402-553-3000 | |
Jennifer Stewart, Counselor Medicare: Medicare Enrolled Practice Location: 515 E Broadway, Council Bluffs, IA 51503 Phone: 712-322-1407 Fax: 712-322-6833 | |
Mrs. Rachelle A Bartlett, MS, PLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 3rd Ave, Council Bluffs, IA 51501 Phone: 712-352-0917 | |
Thomas Edward Koch, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 3rd Ave # Ia51501, Council Bluffs, IA 51501 Phone: 712-352-0917 Fax: 712-352-0837 | |
Robert Scott Andrews, MS LMHC NCC Counselor Medicare: Medicare Enrolled Practice Location: 300 W Broadway Ste 107, Council Bluffs, IA 51503 Phone: 712-328-3700 | |
Mrs. Carolyn Ann Andersen Burgher, MS LMHC LMHP LIMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Main Place, Suite 100 Omni Center Business Park, Council Bluffs, IA 51503 Phone: 712-320-9205 |