| Horizon Mental Health Management Llc | |
|
401 E Corporate Dr Ste 100 Lewisville TX 75057-6426 | |
| (972) 420-8200 | |
| (972) 420-7770 |
| Full Name | Horizon Mental Health Management Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 401 E Corporate Dr Ste 100, Lewisville, Texas |
| Authorized Official Name and Position | Steve Filton (SVP/CFO) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Mental Health Management Llc Po Box 840839 Dallas TX 75284-0839 Ph: (972) 420-8200 | Horizon Mental Health Management Llc 401 E Corporate Dr Ste 100 Lewisville TX 75057-6426 Ph: (972) 420-8200 |
| NPI Number | 1255380176 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Medicare PECOS PAC ID | 5799674131 |
|---|---|
| Medicare Enrollment ID | O20040330001535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255380176 | NPI | - | NPPES |
| 000013192 | Other | MO | MEDICARE - WISCONSIN PHYSICIANS SERVICE INSURANCE CORP |
| 168242 MOBILE IMC | Medicaid | AL | |
| 102G709179 | Other | AL | MEDICARE, GROUP - CAHABA GBA |
| 103G702344 | Other | TN | MEDICARE, GROUP - CAHABA GBA |
| DU3470 | Other | AL | RR MEDICARE |
| DO1307 | Other | MS | RR MEDICARE |
| 150232 NORTH BALDWIN | Medicaid | AL | |
| 1527956 | Medicaid | TN | |
| 167651 OAKWOOD | Medicaid | AL | |
| 369667 | Other | AR | MEDICARE, NOVITAS |
| C02158 | Other | MS | MEDICARE, NOVITAS |
| DN8357 | Other | MO | RR MEDICARE |
| 207379002 | Medicaid | AR | |
| 70064 | Other | IA | MEDICARE, WPS |
| 9014277 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Terrence J Norton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336207588 PECOS PAC ID: 4880653294 Enrollment ID: I20051011000862 |
| Provider Name | Katherine T Gansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609024652 PECOS PAC ID: 1759459100 Enrollment ID: I20081013000049 |
| Provider Name | Elizabeth J Brimeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386959732 PECOS PAC ID: 1759558083 Enrollment ID: I20120126000870 |
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