| Advanced Psychiatric Services, Pllc | |
|
8601 Six Forks Rd Ste 412 Raleigh NC 27615-5276 | |
| (984) 283-0333 | |
| (984) 283-0433 |
| Full Name | Advanced Psychiatric Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8601 Six Forks Rd Ste 412, Raleigh, North Carolina |
| Authorized Official Name and Position | Alexander Pushka (OWNER) |
| Authorized Official Contact | 9545791110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatric Services, Pllc 7369 Sheridan St Ste 203 Hollywood FL 33024-2776 Ph: (984) 283-0333 | Advanced Psychiatric Services, Pllc 8601 Six Forks Rd Ste 412 Raleigh NC 27615-5276 Ph: (984) 283-0333 |
| NPI Number | 1538991146 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Medicare PECOS PAC ID | 5799218681 |
|---|---|
| Medicare Enrollment ID | O20241030004268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538991146 | NPI | - | NPPES |
| Provider Name | Alexander Pushka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992793384 PECOS PAC ID: 2567426901 Enrollment ID: I20241031001226 |
| Provider Name | Milana M Kaplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497893952 PECOS PAC ID: 8022314475 Enrollment ID: I20241113001907 |
| Provider Name | Yinka Shuntina Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104470038 PECOS PAC ID: 8921411760 Enrollment ID: I20241206001736 |
| Provider Name | Pavielle Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497179592 PECOS PAC ID: 3870904402 Enrollment ID: I20241210004605 |
| Provider Name | Muhammad Kashif Nawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750850863 PECOS PAC ID: 6507103272 Enrollment ID: I20241211001634 |
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