| Wayne Memorial Community Health Centers | |
|
601 Park St Honesdale PA 18431-1445 | |
| (570) 251-6676 | |
| (570) 253-8425 |
| Full Name | Wayne Memorial Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 Park St, Honesdale, Pennsylvania |
| Authorized Official Name and Position | Frederick Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5702538450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Memorial Community Health Centers 601 Park Street Honesdale PA 18431 Ph: (570) 251-6641 | Wayne Memorial Community Health Centers 601 Park St Honesdale PA 18431-1445 Ph: (570) 251-6676 |
| NPI Number | 1952395121 |
|---|---|
| Provider Enumeration Date | 09/02/2005 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Medicare PECOS PAC ID | 3072598937 |
|---|---|
| Medicare Enrollment ID | O20040623001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952395121 | NPI | - | NPPES |
| Provider Name | Stanley Roberts Skonieczki Iii |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376518001 PECOS PAC ID: 8527957265 Enrollment ID: I20040311001171 |
| Provider Name | Louis D'oro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548202633 PECOS PAC ID: 0547161028 Enrollment ID: I20040322000228 |
| Provider Name | Thomas O'brien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053419879 PECOS PAC ID: 8022095223 Enrollment ID: I20040706001011 |
| Provider Name | Raymond C Decesare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720058597 PECOS PAC ID: 8628044849 Enrollment ID: I20040908001114 |
| Provider Name | Joseph C Seprosky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033123393 PECOS PAC ID: 3870560303 Enrollment ID: I20040914001015 |
| Provider Name | Nancy M Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710090824 PECOS PAC ID: 6305805904 Enrollment ID: I20041008000490 |
| Provider Name | Janet E Erickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760461149 PECOS PAC ID: 5496715302 Enrollment ID: I20041021000339 |
| Provider Name | Eric Ray Rittenhouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376520593 PECOS PAC ID: 0648223172 Enrollment ID: I20050224000757 |
| Provider Name | Lisa A Medvetz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467451823 PECOS PAC ID: 1850339318 Enrollment ID: I20050425000579 |
| Provider Name | Melissa L Rickard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821284977 PECOS PAC ID: 0345281085 Enrollment ID: I20050512000799 |
| Provider Name | Michael Theodore Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194768606 PECOS PAC ID: 8022044585 Enrollment ID: I20050715000446 |
| Provider Name | Charles D Aronica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316989346 PECOS PAC ID: 3577599034 Enrollment ID: I20050715000575 |
| Provider Name | Julianne J Oboyle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750376182 PECOS PAC ID: 3072547009 Enrollment ID: I20050920000656 |
| Provider Name | Charles J Kovalchick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144215682 PECOS PAC ID: 3971513284 Enrollment ID: I20060502000238 |
| Provider Name | Richard Hacker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013959675 PECOS PAC ID: 4183699374 Enrollment ID: I20060510000179 |
| Provider Name | John M Weisenreider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669425831 PECOS PAC ID: 5294761805 Enrollment ID: I20070705000017 |
| Provider Name | David R Tomazic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912992751 PECOS PAC ID: 5597842815 Enrollment ID: I20080410000123 |
| Provider Name | Christine L Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326230582 PECOS PAC ID: 8325109606 Enrollment ID: I20081204000722 |
| Provider Name | Eileen Arenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518038033 PECOS PAC ID: 0941225643 Enrollment ID: I20090807000379 |
| Provider Name | Hilary Cousins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740426725 PECOS PAC ID: 9436203585 Enrollment ID: I20090825000016 |
| Provider Name | William Russell Dewar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346202744 PECOS PAC ID: 3476522293 Enrollment ID: I20091201000017 |
| Provider Name | Paula Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245292556 PECOS PAC ID: 4183763907 Enrollment ID: I20091211000318 |
| Provider Name | Susan Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437230497 PECOS PAC ID: 3678617818 Enrollment ID: I20100225000557 |
| Provider Name | Margaret Louise Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235208935 PECOS PAC ID: 8022144591 Enrollment ID: I20100414000089 |
| Provider Name | Michael C Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669684460 PECOS PAC ID: 8820121569 Enrollment ID: I20100803000062 |
| Provider Name | Joanne Pellicane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073829289 PECOS PAC ID: 0941497028 Enrollment ID: I20101215000710 |
| Provider Name | Alexander Pinsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669445755 PECOS PAC ID: 5395910319 Enrollment ID: I20111202000326 |
| Provider Name | Dorothy E Walline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104196187 PECOS PAC ID: 1456512045 Enrollment ID: I20120406000298 |
| Provider Name | Sheila Faye Hockman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013948249 PECOS PAC ID: 3072567858 Enrollment ID: I20120413000023 |
| Provider Name | Jessica Giannetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275962185 PECOS PAC ID: 5193954501 Enrollment ID: I20140206000055 |
| Provider Name | James G Cruse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376507517 PECOS PAC ID: 3072533363 Enrollment ID: I20140703000221 |
| Provider Name | Michelle Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265716484 PECOS PAC ID: 9537389853 Enrollment ID: I20141008000155 |
| Provider Name | Traceyan R Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144260126 PECOS PAC ID: 5597778894 Enrollment ID: I20141209000373 |
| Provider Name | Neil Petrosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093106635 PECOS PAC ID: 8729390125 Enrollment ID: I20150626000766 |
| Provider Name | Alexis H Felsman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154671956 PECOS PAC ID: 5799078440 Enrollment ID: I20160719000917 |
| Provider Name | Christina Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304043 PECOS PAC ID: 7214225630 Enrollment ID: I20161018000127 |
| Provider Name | Samuel Ganz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447591714 PECOS PAC ID: 1456652130 Enrollment ID: I20170804002582 |
| Provider Name | Tony Abdelmaseeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073910923 PECOS PAC ID: 1850662958 Enrollment ID: I20170808003003 |
| Provider Name | Candace Plociniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750803391 PECOS PAC ID: 3971862913 Enrollment ID: I20180119000017 |
| Provider Name | Lisa Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467972661 PECOS PAC ID: 9537429691 Enrollment ID: I20180209000871 |
| Provider Name | Jamie Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407353717 PECOS PAC ID: 3173887767 Enrollment ID: I20180508000079 |
| Provider Name | Tuhin Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336428747 PECOS PAC ID: 2062777683 Enrollment ID: I20180601001619 |
| Provider Name | Derek Jay Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871933465 PECOS PAC ID: 9931338894 Enrollment ID: I20181008000061 |
| Provider Name | Lynn Salvati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114406824 PECOS PAC ID: 4880947886 Enrollment ID: I20181022000187 |
| Provider Name | Kevin Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497100945 PECOS PAC ID: 2163769571 Enrollment ID: I20191010000720 |
| Provider Name | Angela Tang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487108098 PECOS PAC ID: 3779828223 Enrollment ID: I20200616002623 |
| Provider Name | Rameez Husain Chaviwala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033633573 PECOS PAC ID: 1355763095 Enrollment ID: I20200625000464 |
| Provider Name | Terry Luma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023350949 PECOS PAC ID: 3779872791 Enrollment ID: I20200708000558 |
| Provider Name | Apurva Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912431578 PECOS PAC ID: 9335419357 Enrollment ID: I20200805001526 |
| Provider Name | Tara Mcgraw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598156275 PECOS PAC ID: 4789988510 Enrollment ID: I20200917002877 |
| Provider Name | Harriet Loizeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679660914 PECOS PAC ID: 1557416773 Enrollment ID: I20210413000009 |
| Provider Name | Ebi Rowshanshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518469790 PECOS PAC ID: 4486904398 Enrollment ID: I20210614000579 |
| Provider Name | Anthony Gabriel Brutico |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740787647 PECOS PAC ID: 5496007395 Enrollment ID: I20210923003271 |
| Provider Name | Magdalena Orchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356005565 PECOS PAC ID: 1759773195 Enrollment ID: I20220118000041 |
| Provider Name | Katherine Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407490758 PECOS PAC ID: 3274927009 Enrollment ID: I20220222000191 |
| Provider Name | Felipe Orellana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457756124 PECOS PAC ID: 8224373774 Enrollment ID: I20220831000179 |
| Provider Name | Pamela Gaeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548998826 PECOS PAC ID: 4587049069 Enrollment ID: I20220920000931 |
| Provider Name | Kathryn Plotkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649924507 PECOS PAC ID: 5496130908 Enrollment ID: I20220920002330 |
| Provider Name | Janet Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932818762 PECOS PAC ID: 5092188029 Enrollment ID: I20230222001622 |
| Provider Name | Stephanie Walsh Roumiantseva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003540287 PECOS PAC ID: 0143693549 Enrollment ID: I20230321000375 |
| Provider Name | Lorraine Lamm |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083086896 PECOS PAC ID: 2961775325 Enrollment ID: I20230408000139 |
| Provider Name | Matthew Cellini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679919435 PECOS PAC ID: 7719273440 Enrollment ID: I20230411002870 |
| Provider Name | Amy Borove |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154036911 PECOS PAC ID: 2961863634 Enrollment ID: I20230727001042 |
| Provider Name | Stephanie Wolloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801294715 PECOS PAC ID: 5092177238 Enrollment ID: I20230818002944 |
| Provider Name | Sabrina Elise Shander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336928571 PECOS PAC ID: 0345698783 Enrollment ID: I20231127001226 |
| Provider Name | Mitchell Valburg |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1780898478 PECOS PAC ID: 9335597103 Enrollment ID: I20231205001202 |
| Provider Name | Isabella Herron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902590839 PECOS PAC ID: 4789034976 Enrollment ID: I20231229002892 |
| Provider Name | Kyle Ann Zeoli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497489009 PECOS PAC ID: 3779934880 Enrollment ID: I20240112001179 |
| Provider Name | Rachael A Van Tassel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730660655 PECOS PAC ID: 2860837416 Enrollment ID: I20240305002564 |
| Provider Name | Amanda Leigh Vitali |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245553734 PECOS PAC ID: 8921443581 Enrollment ID: I20240305002697 |
| Provider Name | Sara Wentz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619488574 PECOS PAC ID: 9537507017 Enrollment ID: I20240403000425 |
| Provider Name | Timothy Gladson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093287526 PECOS PAC ID: 3678921707 Enrollment ID: I20240405000182 |
| Provider Name | Kirsten Marie Havira |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528587359 PECOS PAC ID: 7911345236 Enrollment ID: I20240405001791 |
| Provider Name | Ann Marie Elizabeth Kretchik |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790318053 PECOS PAC ID: 5597105288 Enrollment ID: I20240429001329 |
| Provider Name | Patricia Konzman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396837175 PECOS PAC ID: 6608318456 Enrollment ID: I20240607000936 |
Wayne County Office Of Mh/mr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Church Street, Honesdale, PA 18431 Phone: 570-253-9200 Fax: 570-647-0268 | |
Wayne Memorial Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Park St, Honesdale, PA 18431 Phone: 570-253-8100 Fax: 570-253-8425 | |
Kristina Peary Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Church St, Honesdale, PA 18431 Phone: 570-493-0463 Fax: 570-253-4707 | |
Walsh Counseling And Consultation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403a Spinner Rd, Honesdale, PA 18431 Phone: 570-253-1339 Fax: 570-253-6050 | |
Honesdale Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Maple Ave, Suite 1, Honesdale, PA 18431 Phone: 570-253-8635 | |
Northeast Counseling Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403a Spinner Rd, Honesdale, PA 18431 Phone: 570-253-9323 Fax: 570-253-6050 | |
Pa Treatment & Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1855 Fair Ave, Honesdale, PA 18431 Phone: 570-649-6855 Fax: 570-649-6754 |