Ivan Vega Pacheco, LPC | |
322 N Shore Dr Bldg 1b, Suite 200, Pittsburgh, PA 15212-5875 | |
(646) 941-7645 | |
(929) 596-7897 |
Full Name | Ivan Vega Pacheco |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 322 N Shore Dr Bldg 1b, Pittsburgh, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1932805090 | NPI | - | NPPES |
Entity Name | T.w. Ponessa & Associates Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053341859 PECOS PAC ID: 7810991924 Enrollment ID: O20071004000024 |
Mailing Address | Practice Location Address |
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Ivan Vega Pacheco, LPC 13800 Panama City Beach Pkwy Ste 106d, Pmb# 110, Panama City Beach, FL 32407-2866 Ph: (850) 328-5635 | Ivan Vega Pacheco, LPC 322 N Shore Dr Bldg 1b, Suite 200, Pittsburgh, PA 15212-5875 Ph: (646) 941-7645 |
Mr. A. Joseph Bucco Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Bellefield Ave, Fourth Floor, Pittsburgh, PA 15213 Phone: 412-246-5600 Fax: 412-246-5450 | |
Mrs. Paula Sue Kassouf, MSPC Counselor Medicare: Medicare Enrolled Practice Location: 401 Shady Ave Ste B105, Pittsburgh, PA 15206 Phone: 412-695-3066 | |
Dawn C Blair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 N Braddock Ave, Pittsburgh, PA 15208 Phone: 888-796-8226 | |
Mrs. Rebecca J Parme, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5231 Penn Ave, Pittsburgh, PA 15224 Phone: 412-327-7441 Fax: 412-204-9130 | |
Janelle A. Crisp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 5th Ave Ste 1200, Pittsburgh, PA 15222 Phone: 412-204-6017 Fax: 412-774-2406 | |
Erin Blache, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4701 Baptist Rd, Suite 208, Pittsburgh, PA 15227 Phone: 412-882-9929 | |
Jennifer James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Marlin Dr W, Pittsburgh, PA 15216 Phone: 412-327-8558 |