| Commonwealth Affiliated Services, Inc | |
|
2215 Forest Hills Dr Suite 38 Harrisburg PA 17112-1099 | |
| (717) 540-5353 | |
| (717) 540-5151 |
| Full Name | Commonwealth Affiliated Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2215 Forest Hills Dr, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Roger J Cadieux (PRESIDENT) |
| Authorized Official Contact | 7175405353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Affiliated Services, Inc 2215 Forest Hills Dr Suite 38 Harrisburg PA 17112-1099 Ph: (717) 540-5353 | Commonwealth Affiliated Services, Inc 2215 Forest Hills Dr Suite 38 Harrisburg PA 17112-1099 Ph: (717) 540-5353 |
| NPI Number | 1225125479 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648466797 |
|---|---|
| Medicare Enrollment ID | O20101201000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225125479 | NPI | - | NPPES |
| 1823824 | Other | PA | HIGHMARK BLUE SHIELD |
| 1823814 | Other | PA | HIGHMARK BLUE SHIELD |
| 50046968 | Other | PA | CAPITAL BLUE CROSS |
| Provider Name | Diane M Angstadt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902888472 PECOS PAC ID: 0547392243 Enrollment ID: I20100715000627 |
| Provider Name | Gerilynn K Henshell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518949072 PECOS PAC ID: 1052508454 Enrollment ID: I20101210000811 |
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