| Coast To Coast Mhs, Llc | |
|
223 E Oak St Apt 3 Arcadia FL 34266-4445 | |
| (239) 652-0260 | |
| (239) 652-0146 |
| Full Name | Coast To Coast Mhs, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 223 E Oak St Apt 3, Arcadia, Florida |
| Authorized Official Name and Position | Larry Beuer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2396520260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast To Coast Mhs, Llc 223 E Oak St Apt 3 Arcadia FL 34266-4445 Ph: (239) 652-0260 | Coast To Coast Mhs, Llc 223 E Oak St Apt 3 Arcadia FL 34266-4445 Ph: (239) 652-0260 |
| NPI Number | 1922781350 |
|---|---|
| Provider Enumeration Date | 08/11/2023 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 1153775663 |
|---|---|
| Medicare Enrollment ID | O20231002001327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922781350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Jennie Beuer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518268291 PECOS PAC ID: 8426202276 Enrollment ID: I20130204000303 |
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