Shane M Heckman, LCSW | |
620 Howard Ave, Altoona, PA 16601-4804 | |
(814) 942-5000 | |
(814) 942-9500 |
Full Name | Shane M Heckman |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 620 Howard Ave, Altoona, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134359367 | NPI | - | NPPES |
1024280320001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW016156 (Pennsylvania) | Primary |
Entity Name | Primary Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
Mailing Address | Practice Location Address |
---|---|
Shane M Heckman, LCSW 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (814) 942-5000 | Shane M Heckman, LCSW 620 Howard Ave, Altoona, PA 16601-4804 Ph: (814) 942-5000 |
Roberta Danitz Weiner, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 Greenwood Rd, Altoona, PA 16602 Phone: 814-944-7961 Fax: 814-944-3373 | |
Ms. Karen M Vislosky, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Ida Towers, Altoona, PA 16601 Phone: 724-840-6158 | |
David R Knapp, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 615 Howard Avenue, Suite 214, Altoona, PA 16601 Phone: 814-944-9534 Fax: 814-944-0919 | |
Mr. Charles Walter Wolford, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-2141 Fax: 814-889-7999 | |
Melanie Anne Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2430 Broad Ave, Altoona, PA 16601 Phone: 814-941-0624 | |
Timothy A Kananen, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-2904 |