| East River Psychiatry | |
|
105 Westwood Cmn Bluefield VA 24605-2031 | |
| (276) 235-6232 | |
| (276) 250-5117 |
| Full Name | East River Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 105 Westwood Cmn, Bluefield, Virginia |
| Authorized Official Name and Position | Holly Disibbio (EMPLOYEE) |
| Authorized Official Contact | 3019043804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East River Psychiatry 105 Westwood Cmn Bluefield VA 24605-2031 Ph: (276) 235-6232 | East River Psychiatry 105 Westwood Cmn Bluefield VA 24605-2031 Ph: (276) 235-6232 |
| NPI Number | 1689445884 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 6800234311 |
|---|---|
| Medicare Enrollment ID | O20240403001689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689445884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey T Gee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285620559 PECOS PAC ID: 0345313854 Enrollment ID: I20080716000708 |
| Provider Name | Holly A Disibbio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700423019 PECOS PAC ID: 5799112454 Enrollment ID: I20240403001975 |
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