Ricky Staub, | |
306 Georgian Pl, Somerset, PA 15501-1611 | |
(814) 444-0620 | |
(814) 444-0640 |
Full Name | Ricky Staub |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 306 Georgian Pl, Somerset, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598145971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC006758 (Pennsylvania) | Primary |
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
---|---|
Ricky Staub, 437 Nilan Hill Rd, Point Marion, PA 15474-1389 Ph: (724) 317-5787 | Ricky Staub, 306 Georgian Pl, Somerset, PA 15501-1611 Ph: (814) 444-0620 |
Jacqueline Renee Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 W Race St, Somerset, PA 15501 Phone: 814-443-4891 Fax: 814-443-6399 | |
Brittney Marie Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 W Race St, Somerset, PA 15501 Phone: 814-443-4891 | |
Susan Kimmel, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: Georgian Place, Suite 309, Somerset, PA 15501 Phone: 814-444-0620 | |
Kristi Fisher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1590 N Center Ave Ste 101, Somerset, PA 15501 Phone: 814-445-1717 | |
Sandra K Sota, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 238 W Union St, Somerset, PA 15501 Phone: 814-443-1881 | |
Krystal Sechler, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Westridge Rd, Ste 103, Somerset, PA 15501 Phone: 814-444-9696 Fax: 814-444-0345 | |
Jenna Epstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 W Race St, Somerset, PA 15501 Phone: 814-443-4891 |