Stephanie Wagner, | |
3671 Southwestern Blvd Ste 209, Orchard Park, NY 14127-1749 | |
(716) 895-7207 | |
Not Available |
Full Name | Stephanie Wagner |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3671 Southwestern Blvd Ste 209, Orchard Park, 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 |
---|---|---|---|
1659879823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Mid-erie Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225095201 PECOS PAC ID: 5496707945 Enrollment ID: O20050214000337 |
Mailing Address | Practice Location Address |
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Stephanie Wagner, 3671 Southwestern Blvd Ste 209, Orchard Park, NY 14127-1749 Ph: () - | Stephanie Wagner, 3671 Southwestern Blvd Ste 209, Orchard Park, NY 14127-1749 Ph: (716) 895-7207 |
Ms. Elizabeth Suchan, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3176 Abbott Rd, Building A, Ste. 500, Orchard Park, NY 14127 Phone: 716-822-2117 Fax: 716-822-8165 | |
Lisa Noelle Mary Sears-ricotta, LCSW, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3623 Eggert Rd Ste 203, Orchard Park, NY 14127 Phone: 716-491-6087 Fax: 716-242-0203 | |
Terra Lyn Mcgaffick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Thorn Ave Ste 2, Orchard Park, NY 14127 Phone: 716-662-2040 Fax: 716-662-0019 | |
Zachary Bodack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Thorn Ave, Orchard Park, NY 14127 Phone: 716-662-2040 Fax: 716-662-0019 | |
Allison Nicole Myszka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3345 Southwestern Blvd Ste 100, Orchard Park, NY 14127 Phone: 716-662-6802 Fax: 716-771-3702 | |
Shannon Curry-izzo, MHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 3176 Abbott Rd Unit 500, Orchard Park, NY 14127 Phone: 716-822-2117 | |
Heather Mcgaffick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Thorn Ave, Orchard Park, NY 14127 Phone: 716-662-2040 Fax: 716-662-0019 |