Julie Cerra, | |
107 Plaza Drive, St. Clairsville, OH 43950 | |
(740) 526-0204 | |
(740) 526-0207 |
Full Name | Julie Cerra |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 107 Plaza Drive, St. Clairsville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285881342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Village Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124057914 PECOS PAC ID: 6901049089 Enrollment ID: O20130821001045 |
Mailing Address | Practice Location Address |
---|---|
Julie Cerra, 107 Plaza Drive, St. Clairsville, OH 43950 Ph: (740) 526-0204 | Julie Cerra, 107 Plaza Drive, St. Clairsville, OH 43950 Ph: (740) 526-0204 |
Penny Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Plaza Drive, St. Clairsville, OH 43950 Phone: 740-526-0204 Fax: 740-526-0207 | |
Matthew Burriss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Plaza Drive, St. Clairsville, OH 43950 Phone: 740-526-0204 Fax: 740-526-0207 | |
Charles E Clark Iii, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 Main Street, St. Clairsville, OH 43950 Phone: 740-695-9447 | |
Chad Hutton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Plaza Drive, St. Clairsville, OH 43950 Phone: 740-526-0204 Fax: 740-526-0207 |