Amanda F Brumley (NPI# 1801054028, PAC ID# 6800959321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1801054028 |
PAC ID by PECOS | 6800959321 |
Professional Enrollment ID | I20160411001772 |
Full Name | Amanda F Brumley |
Organization Legal Name | BENTON STREET COUNSELING LLC |
Address |
119 N Benton St Waynesville MO 65583-2501 |
Phone Number | 5734332833 |
Gender | F |
Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 8224339544 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
119 N Benton St, Waynesville, MO 65583-2501 | 5734332833 | BENTON STREET COUNSELING LLC |
Organization Legal Name | BENTON STREET COUNSELING LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shirley J Watkins | Psychologist, Clinical | Benton Street Counseling LLC | 89 W Mccory Dr, Camdenton, MO 65020-6909 |
Catherine A Hales | Clinical Social Worker | Benton Street Counseling LLC | 89 W Mccory Dr, Camdenton, MO 65020-6909 |
Street Address |
119 N BENTON ST |
City | WAYNESVILLE |
State | MO |
Zip | 65583-2501 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa L Smith | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
Sammy L Radcliff | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
Kimberly D Bohlmann | Family Practice | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
Tabitha L Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
Shane R Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
Jerry W Brown | Optometry | 1390 State Route F, Waynesville, MO 65583-2827 | |
Ma Teresa Sison Enciso | Physical Therapy | Ma Teresa Sison Enciso Pt PC Corp | 124 Ichord Ave, Waynesville, MO 65583-5406 |
City | WAYNESVILLE |
Zip Code | 65583 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | WAYNESVILLE + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.