Janita Vanderwalt, | |
1 Fenn St, Brien Center, Pittsfield, MA 01201-6278 | |
(413) 629-1253 | |
Not Available |
Full Name | Janita Vanderwalt |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1 Fenn St, Pittsfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912153552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Servicenet Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659314425 PECOS PAC ID: 6901797950 Enrollment ID: O20040322000368 |
Mailing Address | Practice Location Address |
---|---|
Janita Vanderwalt, 1 Fenn St, Brien Center, Pittsfield, MA 01201-6278 Ph: (413) 629-1253 | Janita Vanderwalt, 1 Fenn St, Brien Center, Pittsfield, MA 01201-6278 Ph: (413) 629-1253 |
Eileeen Morrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 | |
Jill Marion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 | |
Ms. Pamela Bucklin Burger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 Eagle St, First Floor, Pittsfield, MA 01201 Phone: 413-236-5656 Fax: 413-499-6572 | |
Daniel Sullivan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1251 Fax: 413-448-2198 | |
Theresa Whitney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 | |
Helen Joseph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 Wendell Ave Ste 100, Pittsfield, MA 01201 Phone: 617-410-6494 | |
Quintin Sumpter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198 |