| Tyler Scott Kronk, | |
|
117 S 5th St, Goshen, IN 46528-3711 | |
| (574) 596-0675 | |
| Not Available |
| Full Name | Tyler Scott Kronk |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 117 S 5th St, Goshen, 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, 117 S 5th St, Goshen, IN 46528-3711 Ph: (574) 596-0675 | Tyler Scott Kronk, 117 S 5th St, Goshen, IN 46528-3711 Ph: (574) 596-0675 |
Sierra Lynn Lenczycki, MSW, LSW Counselor Medicare: Medicare Enrolled Practice Location: 22479 Glenford Dr, Goshen, IN 46528 Phone: 574-370-3708 | |
Lavern D Raber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Mandy Moretti, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Charlene Koenig, MA Counselor Medicare: Accepting Medicare Assignments Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Travis Silveus, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Erin Brown, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-537-2680 | |
Erika Lynn Farrell, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 |