Perry Minner Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mishawaka, Indiana. His current practice location is
3930 Edison Lakes Pkwy, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at
(216) 468-5000.
Perry Minner Jr is licensed to practice in Indiana (license number 34005929A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295123693.
Healthcare Provider's Profile
Full Name | Perry Minner Jr |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 3930 Edison Lakes Pkwy, Mishawaka, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Perry Minner Jr attended and graduated from in
NPI Data:
- NPI Number: 1295123693
- Provider Enumeration Date: 01/07/2015
- Last Update Date: 08/26/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Perry Minner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295123693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000014A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34005929A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Perry Minner Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Perry Minner Jr, LCSW 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (216) 468-5000 | Perry Minner Jr, LCSW 3930 Edison Lakes Pkwy, Mishawaka, IN 46545-3474 Ph: (216) 468-5000 |
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