| Mark R Ofenloch, PHD | |
|
1273 Dayton Mountain Hwy, Dayton, TN 37321-2816 | |
| (423) 570-1900 | |
| (423) 570-0008 |
| Full Name | Mark R Ofenloch |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1273 Dayton Mountain Hwy, Dayton, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992891022 | NPI | - | NPPES |
| 4024807 | Other | TN | BLUE CROSS/BLUE SHIELD |
| 3685725 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P0000001005 (Tennessee) | Primary |
| Entity Name | We Care Individual And Family Service Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225124209 PECOS PAC ID: 7012939945 Enrollment ID: O20051220000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Ofenloch, PHD Po Box 307, Dayton, TN 37321-0307 Ph: (423) 570-1900 | Mark R Ofenloch, PHD 1273 Dayton Mountain Hwy, Dayton, TN 37321-2816 Ph: (423) 570-1900 |
Dr. William R. Boyd Jr., PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 781 Sunset Dr, Dayton, TN 37321 Phone: 423-775-3618 Fax: 423-775-3618 | |
Joseph Walter Ring, ED.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1273 Dayton Mountain Hwy, Dayton, TN 37321 Phone: 423-570-1900 Fax: 423-570-0008 |