Derek Andrew Stotsky, LPC | |
737 Greenville Rd, Mercer, PA 16137-5070 | |
(724) 662-2650 | |
(724) 662-1338 |
Full Name | Derek Andrew Stotsky |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 737 Greenville Rd, Mercer, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316767866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC003622 (Pennsylvania) | Secondary |
101YM0800X | Counselor - Mental Health | PC003622 (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 |
---|---|
Derek Andrew Stotsky, LPC 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (724) 662-2650 | Derek Andrew Stotsky, LPC 737 Greenville Rd, Mercer, PA 16137-5070 Ph: (724) 662-2650 |
Ms. Dawn R. Hanaway, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 N Pitt St, Mercer, PA 16137 Phone: 724-662-7202 Fax: 724-662-7208 | |
Joshua Storm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 N Pitt St, Mercer, PA 16137 Phone: 724-662-7202 Fax: 724-662-7208 | |
Ebony L. Winger, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 N Pitt St, Mercer, PA 16137 Phone: 724-662-7202 Fax: 724-662-7208 | |
Anna Stright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 N Pitt St, Mercer, PA 16137 Phone: 724-662-7202 Fax: 724-662-7208 | |
Rebecca Ann Alby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 N Pitt St, Mercer, PA 16137 Phone: 724-662-7202 Fax: 724-662-7208 | |
Gillian Marie Martin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Franklin Rd, Mercer, PA 16137 Phone: 724-761-2321 | |
Amy C. Amon, Counselor Medicare: Medicare Enrolled Practice Location: 60b Franklin Rd, Mercer, PA 16137 Phone: 724-269-7222 |