Mrs Kristen A Meder, LMHC | |
36 Thomas Indian School Dr, Irving, NY 14081-9300 | |
(716) 532-5582 | |
(716) 242-6344 |
Full Name | Mrs Kristen A Meder |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 36 Thomas Indian School Dr, Irving, 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 |
---|---|---|---|
1124563382 | NPI | - | NPPES |
180117000136 | Other | NY | FIDELIS |
07693887 | Medicaid | NY | |
10289678 | Other | NY | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 009514 (New York) | Primary |
Entity Name | Seneca Nation Of Indians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristen A Meder, LMHC 39 N Pangolin St Apt A, Dunkirk, NY 14048-1150 Ph: (716) 785-3698 | Mrs Kristen A Meder, LMHC 36 Thomas Indian School Dr, Irving, NY 14081-9300 Ph: (716) 532-5582 |
Nayomah Gail Wilson-castle, MHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Thomas Indian School Drive, Irving, NY 14081 Phone: 716-532-5583 Fax: 716-532-8324 | |
Heidi Lynne Kazmark, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Thomas Indian School Dr, Irving, NY 14081 Phone: 716-532-8223 | |
Crystal Leigh Kawski, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Thomas Indian School Dr, Irving, NY 14081 Phone: 716-532-5583 Fax: 716-532-8324 |