| Brandon Sheetz, | |
|
1070 Old National Pike, Fredericktown, PA 15333-2114 | |
| (724) 632-6801 | |
| Not Available |
| Full Name | Brandon Sheetz |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578339511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC016482 (Pennsylvania) | Primary |
| Entity Name | Centerville Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235110156 PECOS PAC ID: 7214837202 Enrollment ID: O20100720000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Sheetz, 1070 Old National Pike, Frederictkown, PA 15333-2114 Ph: (724) 632-6801 | Brandon Sheetz, 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 |
Shelby Duke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Maryann Fee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Nicole Goodwin, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Chelsea Marie Wood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Thais Irene Bagiatis, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Heather Ann Little, B.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Lisa Korzun, Counselor Medicare: Medicare Enrolled Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 |