Ms Teresa A Key-piciucco, PYSCH ASSISTANT is a
Counselor - Professional based in Newark, Ohio. Ms Teresa A Key-piciucco is licensed to practice in West Virginia (license number 1291) and her current practice location is
68 W Church St Ste 318, Newark, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 281-1777.
NPI number for Ms Teresa A Key-piciucco is 1033279765 and her current mailing address is 68 W Church St Ste 318, Newark, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033279765.
Healthcare Provider's Profile
| Full Name | Ms Teresa A Key-piciucco |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 68 W Church St Ste 318, Newark, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033279765
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 11/24/2020
Medical Identifiers
Medical identifiers for Ms Teresa A Key-piciucco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033279765 | NPI | - | NPPES |
| 588982000 | Other | WV | MAGELLAN MIS NUMBER |
| Y01291 | Other | WV | HEALTH PLAN ID |
| 0005456001 | Medicaid | WV | |
| 001719061 | Other | WV | MSBCBS SERVICE ID |
| 2171255 | Other | WV | CIGNA ID NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 821 (West Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 1291 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Teresa A Key-piciucco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Teresa A Key-piciucco, PYSCH ASSISTANT
68 W Church St Ste 318,
Newark, OH 43055-5050
Ph: (740) 281-1777 | Ms Teresa A Key-piciucco, PYSCH ASSISTANT
68 W Church St Ste 318,
Newark, OH 43055-5050
Ph: (740) 281-1777 |
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