Compassion Mental Health Services Of Pennsylvania, Pllc | |
3124 Wilmington Rd Ste 304 New Castle PA 16105-1100 | |
(814) 227-4331 | |
Not Available |
Full Name | Compassion Mental Health Services Of Pennsylvania, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 3124 Wilmington Rd Ste 304, New Castle, Pennsylvania |
Authorized Official Name and Position | Santiago A Almanzar Disla (CHIEF EXECUTIVE OFFICER/PSYCHIATRIS) |
Authorized Official Contact | 8142274331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compassion Mental Health Services Of Pennsylvania, Pllc 3230 Sequoia Dr New Castle PA 16105-2936 Ph: (573) 825-8145 | Compassion Mental Health Services Of Pennsylvania, Pllc 3124 Wilmington Rd Ste 304 New Castle PA 16105-1100 Ph: (814) 227-4331 |
NPI Number | 1295257681 |
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Provider Enumeration Date | 07/07/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 9537435383 |
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Medicare Enrollment ID | O20171023000207 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295257681 | NPI | - | NPPES |
1770926750 | Other | PA | PSYCHIATRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD449863 (Pennsylvania) | Primary |
Provider Name | Raquel J Diaz-guerrero |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720371032 PECOS PAC ID: 9931417128 Enrollment ID: I20151008001047 |
Provider Name | Tammy L Dawson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134682628 PECOS PAC ID: 2466883830 Enrollment ID: I20200519002221 |
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