| Larry Baumgartner, | |
|
340 Paseo Reyes Dr, St Augustine, FL 32095-8464 | |
| (727) 946-1346 | |
| Not Available |
| Full Name | Larry Baumgartner |
|---|---|
| Gender | Male |
| Speciality | Marriage And Family Therapist |
| Experience | 11 Years |
| Location | 340 Paseo Reyes Dr, St Augustine, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669828828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT3602 (Florida) | Primary |
| 106H00000X | Marriage & Family Therapist | 4370 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 994 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Baumgartner, 99 King St Unit 186, Saint Augustine, FL 32085-7708 Ph: () - | Larry Baumgartner, 340 Paseo Reyes Dr, St Augustine, FL 32095-8464 Ph: (727) 946-1346 |
Marni Anna Peterson, LMFT, DMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 322 Marshside Dr N, St Augustine, FL 32080 Phone: 651-434-4977 | |
Carol Hooper, LCSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2120 Us 1 S, St Augustine, FL 32086 Phone: 904-501-0846 Fax: 904-217-7257 | |
Stanley Allen Williams, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17 Pacific St Ste B, St Augustine, FL 32084 Phone: 904-315-1586 | |
Dr. Mary Boyd Neal, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 320 High Tide Dr, Suite 101, St Augustine, FL 32080 Phone: 904-392-1704 Fax: 904-460-0068 | |
Tara Haley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086 Phone: 904-825-5048 Fax: 904-825-6824 | |
Michelle Murray Craun, LMFT, QS Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 1301 Plantation Island Dr S, 201b, St Augustine, FL 32080 Phone: 904-770-7685 Fax: 904-770-7817 | |
Larry Charles Sargent, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 167 Palencia Village Dr Ste 101, St Augustine, FL 32095 Phone: 904-224-5108 |