Perry Minner Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mishawaka, Indiana. He went to Indiana Medical College, School Of Medicine Of Purdue University and graduated in 2006 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Midwest Behavioral Health Llc and 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 | Clinical Social Worker |
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| Experience | 20 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. |
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Medical Education and Training:
- Perry Minner Jr attended and graduated from Indiana Medical College, School Of Medicine Of Purdue University in 2006
NPI Data:
- NPI Number: 1295123693
- Provider Enumeration Date: 01/07/2015
- Last Update Date: 08/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466732631
- Enrollment ID: I20161205001101
Medical Identifiers
Medical identifiers for Perry Minner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295123693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000014A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34005929A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midwest Behavioral Health Llc | 4587834874 | 124 |
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 |
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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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