| Greenbrook Tms Suffolk Llc | |
|
1530 Breezeport Way Ste 100 Suffolk VA 23435-3753 | |
| (855) 998-4867 | |
| Not Available |
| Full Name | Greenbrook Tms Suffolk Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1530 Breezeport Way Ste 100, Suffolk, Virginia |
| Authorized Official Name and Position | Bryce Neumann (REGIONAL MANAGER) |
| Authorized Official Contact | 8559984867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrook Tms Suffolk Llc 1530 Breezeport Way Ste 100 Suffolk VA 23435-3753 Ph: (855) 998-4867 | Greenbrook Tms Suffolk Llc 1530 Breezeport Way Ste 100 Suffolk VA 23435-3753 Ph: (855) 998-4867 |
| NPI Number | 1215446190 |
|---|---|
| Provider Enumeration Date | 09/24/2017 |
| Last Update Date | 09/24/2017 |
| Medicare PECOS PAC ID | 8729347851 |
|---|---|
| Medicare Enrollment ID | O20180118002230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215446190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Katharine W Heatwole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740256387 PECOS PAC ID: 6608833108 Enrollment ID: I20041216000394 |
| Provider Name | Merle Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225091325 PECOS PAC ID: 9436328911 Enrollment ID: I20110818000361 |
| Provider Name | William Michael Sauve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194847178 PECOS PAC ID: 0244385508 Enrollment ID: I20141023000951 |
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