Associates In Quality Psychiatric Medicine Pc | |
4416 Penn Avenue Pittsburgh PA 15224 | |
(412) 681-2211 | |
(412) 687-0728 |
Full Name | Associates In Quality Psychiatric Medicine Pc |
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Speciality | Counselor |
Location | 4416 Penn Avenue, Pittsburgh, Pennsylvania |
Authorized Official Name and Position | Timothy S Mitzel (PARTNER) |
Authorized Official Contact | 4126812211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Associates In Quality Psychiatric Medicine Pc 4416 Penn Avenue Pittsburgh PA 15224 Ph: (412) 681-2211 | Associates In Quality Psychiatric Medicine Pc 4416 Penn Avenue Pittsburgh PA 15224 Ph: (412) 681-2211 |
NPI Number | 1265513915 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 05/02/2008 |
Medicare PECOS PAC ID | 4880673102 |
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Medicare Enrollment ID | O20040719001094 |
Identifier | Type | State | Issuer |
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1265513915 | NPI | - | NPPES |
631569 | Other | PA | HIGHMARK |
673053 | Other | PA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Mary M Brilmyer |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1255338935 PECOS PAC ID: 0648168377 Enrollment ID: I20040305000298 |
Provider Name | Lester J Bolanovich |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447272034 PECOS PAC ID: 9133187081 Enrollment ID: I20050614001325 |
Provider Name | Timothy S Mitzel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285656785 PECOS PAC ID: 9537148861 Enrollment ID: I20100913000623 |
Provider Name | June Ganley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417954363 PECOS PAC ID: 6709054448 Enrollment ID: I20110722000450 |
Associates In Quality Psychiatric Medicine Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4416 Penn Ave, Pittsburgh, PA 15224 Phone: 412-681-2211 Fax: 412-687-0728 | |
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