Patrick Niebauer, PHD | |
807 Lawn Ave, Sellersville, PA 18960-1549 | |
(215) 257-6551 | |
(215) 257-9347 |
Full Name | Patrick Niebauer |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 807 Lawn Ave, Sellersville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639428816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW012072 (Pennsylvania) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Mailing Address | Practice Location Address |
---|---|
Patrick Niebauer, PHD 601 South Main Street, Coopersburg, PA 18036 Ph: (484) 863-4632 | Patrick Niebauer, PHD 807 Lawn Ave, Sellersville, PA 18960-1549 Ph: (215) 257-6551 |
Mr. William C Roth, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1219 Ridge Rd, Sellersville, PA 18960 Phone: 215-264-3187 | |
Jeffrey P Marchese, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-453-5181 | |
Elisabeth Anne Iacovelli, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-9347 | |
Lynette Reed, S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-9347 | |
Jacinta Harman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-9347 | |
Deborah Fay Harris, M.S.S. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-453-5181 | |
Kristin Mascio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-9347 |