Brandon Radziewicz, | |
1 S 2nd St, Pottsville, PA 17901-3174 | |
(570) 628-6990 | |
(570) 628-5899 |
Full Name | Brandon Radziewicz |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1 S 2nd St, Pottsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417733031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC015965 (Pennsylvania) | Primary |
Entity Name | Cornerstone Coordinated Health Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811269186 PECOS PAC ID: 2567624232 Enrollment ID: O20120921000187 |
Mailing Address | Practice Location Address |
---|---|
Brandon Radziewicz, 205 S 4th St, Minersville, PA 17954-1103 Ph: (570) 691-6945 | Brandon Radziewicz, 1 S 2nd St, Pottsville, PA 17901-3174 Ph: (570) 628-6990 |
Mr. Eric Joel Neifert, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1840 W End Ave, 3, Pottsville, PA 17901 Phone: 570-573-4136 Fax: 570-622-9862 | |
Melinda Anthony Spolski, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 S Centre St Ste 101, Pottsville, PA 17901 Phone: 570-622-1025 | |
Caitlin Sensenig, Counselor Medicare: Not Enrolled in Medicare Practice Location: 437 N Centre St, Pottsville, PA 17901 Phone: 570-728-2600 | |
Larry Schew, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 S Centre St Lowr Level, Pottsville, PA 17901 Phone: 570-391-1582 | |
Dr. Carol Mack, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 454 N. Claude A. Lord Blvd., Pottsville, PA 17901 Phone: 570-622-1025 Fax: 570-628-4344 | |
Trudy Lynn Greene, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 529 Terry Reiley Way, Pottsville, PA 17901 Phone: 570-624-4444 | |
Bernadette Elinsky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 437 N Centre St, Pottsville, PA 17901 Phone: 570-728-2600 |