| Denise Rageis Llc | |
|
16 Rose Tree Vlg Media PA 19063-2038 | |
| (610) 316-4585 | |
| Not Available |
| Full Name | Denise Rageis Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 16 Rose Tree Vlg, Media, Pennsylvania |
| Authorized Official Name and Position | Denise Rageis (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4845480405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Rageis Llc 16 Rose Tree Vlg Media PA 19063-2038 Ph: (610) 316-4585 | Denise Rageis Llc 16 Rose Tree Vlg Media PA 19063-2038 Ph: (610) 316-4585 |
| NPI Number | 1548977739 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Medicare PECOS PAC ID | 8022488642 |
|---|---|
| Medicare Enrollment ID | O20221222002225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548977739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Denise Rageis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427599430 PECOS PAC ID: 7012285877 Enrollment ID: I20170620000673 |
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