| Tracie Schardein, Llc | |
|
102 S Van Buren St Abilene KS 67410-3705 | |
| (785) 992-0275 | |
| Not Available |
| Full Name | Tracie Schardein, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 S Van Buren St, Abilene, Kansas |
| Authorized Official Name and Position | Tracie Schardein (OWNER) |
| Authorized Official Contact | 7859920275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Schardein, Llc 102 S Van Buren St Abilene KS 67410-3705 Ph: (785) 992-0275 | Tracie Schardein, Llc 102 S Van Buren St Abilene KS 67410-3705 Ph: (785) 992-0275 |
| NPI Number | 1881477396 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 7911343157 |
|---|---|
| Medicare Enrollment ID | O20240311003160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881477396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tracie Schardein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316720808 PECOS PAC ID: 8820434061 Enrollment ID: I20240311003267 |
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