| Dream Provider Care Services | |
|
216 Stewart Pkwy Washington NC 27889-4972 | |
| (252) 946-0585 | |
| (252) 946-0580 |
| Full Name | Dream Provider Care Services |
|---|---|
| Speciality | Counselor |
| Location | 216 Stewart Pkwy, Washington, North Carolina |
| Authorized Official Name and Position | Wendee M Bailey (OWNER) |
| Authorized Official Contact | 2529460585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Provider Care Services 216 Stewart Pkwy Washington NC 27889-4972 Ph: (252) 946-0585 | Dream Provider Care Services 216 Stewart Pkwy Washington NC 27889-4972 Ph: (252) 946-0585 |
| NPI Number | 1912952672 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 3971662636 |
|---|---|
| Medicare Enrollment ID | O20081110000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912952672 | NPI | - | NPPES |
| 6005782 | Medicaid | NC |
| Provider Name | Mark B Odaniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164529640 PECOS PAC ID: 4486552205 Enrollment ID: I20031230000546 |
| Provider Name | Jeffrey D Seder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023094653 PECOS PAC ID: 3678502317 Enrollment ID: I20050822000107 |
| Provider Name | Stanton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679546451 PECOS PAC ID: 3577570993 Enrollment ID: I20060418000744 |
| Provider Name | Jane Angell Massey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336249846 PECOS PAC ID: 9537115241 Enrollment ID: I20070210000008 |
| Provider Name | Terry A Hardison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073678587 PECOS PAC ID: 9032276381 Enrollment ID: I20090331000625 |
| Provider Name | Tania Lorraine Obremski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861464083 PECOS PAC ID: 6002943883 Enrollment ID: I20100427000811 |
| Provider Name | David Hallmark Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770784522 PECOS PAC ID: 3779761044 Enrollment ID: I20110711000355 |
| Provider Name | Pamela M Moore Hardison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871839845 PECOS PAC ID: 8820373848 Enrollment ID: I20170314000325 |
| Provider Name | Charlene Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346527314 PECOS PAC ID: 1850666785 Enrollment ID: I20171003006487 |
| Provider Name | Shontel Mone Spruill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912404948 PECOS PAC ID: 0244652287 Enrollment ID: I20200622001456 |
| Provider Name | Mateusz Broszko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063853182 PECOS PAC ID: 8426347964 Enrollment ID: I20230206002148 |
Port Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Avon Avenue, Washington, NC 27889 Phone: 252-948-1413 Fax: 252-946-1086 | |
Tideland Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1308 Highland Dr, Washington, NC 27889 Phone: 252-946-3666 Fax: 252-974-5499 | |
Generation Y Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 Calf Branch Rd, Washington, NC 27889 Phone: 252-402-5075 | |
New Perspective Life Center,inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 John Small Ave, Washington, NC 27889 Phone: 252-494-0275 | |
Eccfnc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 N Bridge St, Washington, NC 27889 Phone: 833-781-6474 Fax: 252-362-0336 | |
United Human Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Carolina Ave, Washington, NC 27889 Phone: 252-702-4984 Fax: 252-948-0059 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 Plant St, Washington, NC 27889 Phone: 252-946-7094 |