Brianna Marie Buonomo, LPC, NCC | |
5 S Washington Ave, Jermyn, PA 18433-1121 | |
(570) 230-0019 | |
Not Available |
Full Name | Brianna Marie Buonomo |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5 S Washington Ave, Jermyn, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770366007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | The Wright Center Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194739979 PECOS PAC ID: 6305841230 Enrollment ID: O20061004000283 |
Mailing Address | Practice Location Address |
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Brianna Marie Buonomo, LPC, NCC 13 Washington St, Carbondale, PA 18407-2018 Ph: (570) 766-0069 | Brianna Marie Buonomo, LPC, NCC 5 S Washington Ave, Jermyn, PA 18433-1121 Ph: (570) 230-0019 |
Karen Brown Kolcharno, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5 S Washington Ave, Jermyn, PA 18433 Phone: 570-230-0019 | |
Cassidy Dorson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lincoln Ave, Jermyn, PA 18433 Phone: 570-468-6200 | |
Sarah Pettinato, Counselor Medicare: Accepting Medicare Assignments Practice Location: 5 S Washington Ave, Jermyn, PA 18433 Phone: 570-383-9934 Fax: 570-230-0023 | |
Ms. Carol Wendy Haupt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5 S Washington Ave, Jermyn, PA 18433 Phone: 570-230-0019 | |
Renea Hammerman, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 S Washington Ave, Jermyn, PA 18433 Phone: 570-383-9934 Fax: 570-343-3934 |