| Mr Thane Stielow, LCMFT | |
|
3600 Maureen Lane, Bowie, MD 20715 | |
| (301) 802-1159 | |
| Not Available |
| Full Name | Mr Thane Stielow |
|---|---|
| Gender | Male |
| Speciality | Marriage And Family Therapist |
| Experience | 23 Years |
| Location | 3600 Maureen Lane, Bowie, Maryland |
| 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 |
|---|---|---|---|
| 1568583854 | NPI | - | NPPES |
| 58956180 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LCM206 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 465 |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thane Stielow, LCMFT 3600 Maureen Ln, Bowie, MD 20715-2936 Ph: (301) 802-1159 | Mr Thane Stielow, LCMFT 3600 Maureen Lane, Bowie, MD 20715 Ph: (301) 802-1159 |
Tiphanie Gibbs, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715 Phone: 402-457-2592 | |
Shari Ayane Loveday, MA, LGMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4217 Begonia Dr, Bowie, MD 20720 Phone: 240-245-5307 | |
Brigetta Charmaine Weatherington, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14405 Jasonwood Ct, Bowie, MD 20721 Phone: 301-704-5773 | |
Irene Buel, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd, Bowie, MD 20715 Phone: 443-569-8882 | |
Sydney Chesney, LGMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2905 Mitchellville Rd Ste 204, Bowie, MD 20716 Phone: 301-701-6965 | |
Jacquelyn Deshong, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 16701 Melford Blvd, Bowie, MD 20715 Phone: 844-830-7233 | |
Stephanie Birmingham, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2905 Mitchellville Rd Ste 204, Bowie, MD 20716 Phone: 301-701-6965 |