| Riverside Associates, P.c. | |
|
2818 Green St Harrisburg PA 17110-1228 | |
| (717) 238-6880 | |
| (717) 238-6885 |
| Full Name | Riverside Associates, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2818 Green St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | G David Smith (PRESIDENT PSYCHOLOGIST) |
| Authorized Official Contact | 7172386880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Associates, P.c. 2818 Green St Harrisburg PA 17110-1228 Ph: (717) 238-6880 | Riverside Associates, P.c. 2818 Green St Harrisburg PA 17110-1228 Ph: (717) 238-6880 |
| NPI Number | 1649235110 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/09/2007 |
| Medicare PECOS PAC ID | 4385536994 |
|---|---|
| Medicare Enrollment ID | O20040329000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649235110 | NPI | - | NPPES |
| 02433600 | Other | PA | CAPITAL BLUE CROSS |
| 1000022870005 | Medicaid | PA | |
| 641061 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Wayne D. Schmoyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306986609 PECOS PAC ID: 7618077769 Enrollment ID: I20070703000296 |
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