| Derek J Parker, MA, MS, PHD | |
|
420 1st St, Du Bois, PA 15801-3012 | |
| (814) 221-5744 | |
| Not Available |
| Full Name | Derek J Parker |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 420 1st St, Du Bois, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679919633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richard Hoffman | 7618137522 | 34 |
| Entity Name | Richard Hoffman |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356583066 PECOS PAC ID: 7618137522 Enrollment ID: O20120330000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek J Parker, MA, MS, PHD 56 Graham Ave, Brookville, PA 15825-1403 Ph: (814) 221-5744 | Derek J Parker, MA, MS, PHD 420 1st St, Du Bois, PA 15801-3012 Ph: (814) 221-5744 |
Elaine M. Boal, B. A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 | |
Pamela S Brunelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Letasha Anne Tedrow, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Melissa Lynn Baird, B. S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 | |
Shannon L Lucas, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-371-3671 | |
Ms. Tara Leigh Collins, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Shannon R Lange, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 S Brady St Ste 205, Du Bois, PA 15801 Phone: 814-371-1088 Fax: 814-371-4966 |