| Shefferd Incorporated | |
|
700 Oregon St Ste 9 Hiawatha KS 66434-2232 | |
| (785) 288-6253 | |
| Not Available |
| Full Name | Shefferd Incorporated |
|---|---|
| Speciality | Social Worker |
| Location | 700 Oregon St Ste 9, Hiawatha, Kansas |
| Authorized Official Name and Position | Tamara Shefferd (OUTPATIENT THERAPIST) |
| Authorized Official Contact | 7852886253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shefferd Incorporated 1006 N 4th St Hiawatha KS 66434-1518 Ph: (785) 220-1364 | Shefferd Incorporated 700 Oregon St Ste 9 Hiawatha KS 66434-2232 Ph: (785) 288-6253 |
| NPI Number | 1245855121 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Medicare PECOS PAC ID | 9638594245 |
|---|---|
| Medicare Enrollment ID | O20200729003728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245855121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamara Shefferd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053726232 PECOS PAC ID: 0547685158 Enrollment ID: I20200729003886 |
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