James Sr Ross Sr, | |
45 Baily Rd, Lansdowne, PA 19050-2801 | |
(267) 983-7059 | |
Not Available |
Full Name | James Sr Ross Sr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 45 Baily Rd, Lansdowne, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386396869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW023001 (Pennsylvania) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
Entity Name | Supportive Care Of Pennsylvania Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174992275 PECOS PAC ID: 0143521211 Enrollment ID: O20151214002225 |
Mailing Address | Practice Location Address |
---|---|
James Sr Ross Sr, 45 Baily Rd, Lansdowne, PA 19050-2801 Ph: (267) 983-7059 | James Sr Ross Sr, 45 Baily Rd, Lansdowne, PA 19050-2801 Ph: (267) 983-7059 |
Diane Carol Stowe, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 60 S Lansdowne Ave, Lansdowne, PA 19050 Phone: 267-253-8308 Fax: 610-626-1264 | |
Mr. Ronald Dion Bailey Ford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 E Stewart Ave, Lansdowne, PA 19050 Phone: 126-723-1040 | |
Dr. Stacey Julye, PH.D. MSS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 W Greenwood Ave, Lansdowne, PA 19050 Phone: 610-427-9368 | |
Mrs. Raequel Allyssa Madara, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 145 E Greenwood Ave, Lansdowne, PA 19050 Phone: 610-368-7737 | |
Claudia Wood, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2 Knoll St, Lansdowne, PA 19050 Phone: 610-329-8370 Fax: 215-940-9485 | |
Kristi Annette West, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 326 Barker Ave, Lansdowne, PA 19050 Phone: 610-716-1064 Fax: 610-716-1064 |