Jonathan M Orris Sr, | |
100 W Long Ave, Du Bois, PA 15801-2104 | |
(724) 396-1510 | |
(724) 972-4627 |
Full Name | Jonathan M Orris Sr |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 100 W Long Ave, Du Bois, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811601396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC015230 (Pennsylvania) | Primary |
Entity Name | Richard Hoffman |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356583066 PECOS PAC ID: 7618137522 Enrollment ID: O20120330000461 |
Mailing Address | Practice Location Address |
---|---|
Jonathan M Orris Sr, 101 Pembroke Ct, Greensburg, PA 15601-6404 Ph: (724) 396-1510 | Jonathan M Orris Sr, 100 W Long Ave, Du Bois, PA 15801-2104 Ph: (724) 396-1510 |
Elaine M. Boal, B. A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 | |
Pamela S Brunelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Letasha Anne Tedrow, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Melissa Lynn Baird, B. S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 | |
Shannon L Lucas, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-371-3671 | |
Ms. Tara Leigh Collins, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Shannon R Lange, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 S Brady St Ste 205, Du Bois, PA 15801 Phone: 814-371-1088 Fax: 814-371-4966 |