Melody A Dejohn, | |
99 S Erie St, Mayville, NY 14757 | |
(716) 753-4105 | |
Not Available |
Full Name | Melody A Dejohn |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 99 S Erie St, Mayville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043351935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | County Of Chautauqua - A Mun Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902897374 PECOS PAC ID: 1951380633 Enrollment ID: O20070601000400 |
Mailing Address | Practice Location Address |
---|---|
Melody A Dejohn, 2 Academy St, Rm 201, Mayville, NY 14757-1050 Ph: (716) 753-4230 | Melody A Dejohn, 99 S Erie St, Mayville, NY 14757 Ph: (716) 753-4105 |
Kimberly Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 N Erie St, Mayville, NY 14757 Phone: 716-753-4104 Fax: 716-753-4230 | |
Jennifer Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 S Erie St, Mayville, NY 14757 Phone: 716-753-4150 Fax: 716-753-2906 | |
Kislyn Frary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 N Erie St, Mayville, NY 14757 Phone: 716-753-4104 Fax: 716-753-4230 | |
Kolnae Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 N Erie St, Mayville, NY 14757 Phone: 716-753-4104 Fax: 716-753-4230 | |
Alycia Y Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 N Erie St, Mayville, NY 14757 Phone: 716-753-4318 | |
Michelle M Merritt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 N Erie St, Mayville, NY 14757 Phone: 716-753-4104 |