| Tyler Scott Kronk, | |
|
105 Enterprise Drive, Warsaw, IN 46580 | |
| (574) 260-0448 | |
| Not Available |
| Full Name | Tyler Scott Kronk |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 105 Enterprise Drive, Warsaw, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194255794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Indiana) | Primary |
| Entity Name | Oaklawn Psychiatric Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Scott Kronk, 105 Enterprise Dr, Warsaw, IN 46580-1204 Ph: () - | Tyler Scott Kronk, 105 Enterprise Drive, Warsaw, IN 46580 Ph: (574) 260-0448 |
Amy Diane Coplen, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-7169 Fax: 574-269-3995 | |
Kathryn Kennedy Airgood, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-7169 Fax: 574-269-3995 | |
Donald Henry Starke, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-7169 Fax: 574-269-3995 | |
Abigail Lee Jessie, MA, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3562 E Us Highway 30, Warsaw, IN 46580 Phone: 574-376-4489 | |
Betty J Gibbons, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-7169 Fax: 574-269-3995 | |
Leslie Ringger, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-7169 | |
Rebekah Jade Rowe, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3562 E Us Highway 30, Warsaw, IN 46580 Phone: 574-376-4489 |