| Awaken Telepsychiatry | |
|
1299 Hall Ave Sharon PA 16146 | |
| (724) 866-7184 | |
| (979) 230-1029 |
| Full Name | Awaken Telepsychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1299 Hall Ave, Sharon, Pennsylvania |
| Authorized Official Name and Position | Jill Mccartney (OWNER) |
| Authorized Official Contact | 7248771257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awaken Telepsychiatry 1299 Hall Ave Sharon PA 16146 Ph: (724) 866-7184 | Awaken Telepsychiatry 1299 Hall Ave Sharon PA 16146 Ph: (724) 866-7184 |
| NPI Number | 1295219194 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 3577804343 |
|---|---|
| Medicare Enrollment ID | O20190403002404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295219194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jill Mccartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568997815 PECOS PAC ID: 7113295403 Enrollment ID: I20190403002494 |
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