Rene Schwiesow, | |
41 Pacella Park Dr, Randolph, MA 02368-1755 | |
(781) 440-0400 | |
Not Available |
Full Name | Rene Schwiesow |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 41 Pacella Park Dr, Randolph, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003181272 | NPI | - | NPPES |
110026265 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Northeast Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Mailing Address | Practice Location Address |
---|---|
Rene Schwiesow, 41 Pacella Park Dr, Randolph, MA 02368-1755 Ph: (781) 440-0400 | Rene Schwiesow, 41 Pacella Park Dr, Randolph, MA 02368-1755 Ph: (781) 440-0400 |
Kafunda Banks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Alexander Gasdia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Courtney Destremps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Mr. Michael Thomas Quinn, BCBA SPED Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr., May Institute, Randolph, MA 02368 Phone: 781-437-1400 | |
Victoria Symkus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Gabrielle N Bartholomew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 |