Mr Jonathan Lewis Wade Sr, MDIV - Counselor in Brookhaven, PA

Mr Jonathan Lewis Wade Sr, MDIV is a Counselor - Addiction (substance Use Disorder) based in Brookhaven, Pennsylvania. Mr Jonathan Lewis Wade Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is 5000 Hilltop Dr, Brookhaven, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (484) 490-1060.

NPI number for Mr Jonathan Lewis Wade Sr is 1366795890 and his current mailing address is 201 Blackwood Clementon Rd, Apt. 1901, Lindenwold, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366795890.

Contact Information

Mr Jonathan Lewis Wade Sr, MDIV
5000 Hilltop Dr,
Brookhaven, PA 19015-1228
(484) 490-1060
(610) 876-4534

Map and Direction


Healthcare Provider's Profile

Full NameMr Jonathan Lewis Wade Sr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location5000 Hilltop Dr, Brookhaven, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366795890
  • Provider Enumeration Date: 10/22/2012
  • Last Update Date: 10/22/2012

Medical Identifiers

Medical identifiers for Mr Jonathan Lewis Wade Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366795890NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP1600XCounselor - Pastoral (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jonathan Lewis Wade Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jonathan Lewis Wade Sr, MDIV
201 Blackwood Clementon Rd, Apt. 1901,
Lindenwold, NJ 08021-6878

Ph: (609) 562-3992
Mr Jonathan Lewis Wade Sr, MDIV
5000 Hilltop Dr,
Brookhaven, PA 19015-1228

Ph: (484) 490-1060

Reviews and Comments


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