| Douglas Edmund Rynkewicz, MA, EDS, LAC | |
|
795 Woodlane Rd Ste 300, Westampton, NJ 08060-3832 | |
| (609) 267-1377 | |
| Not Available |
| Full Name | Douglas Edmund Rynkewicz |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 795 Woodlane Rd Ste 300, Westampton, New Jersey |
| 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 |
|---|---|---|---|
| 1922764273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | 1094746 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37AC00440200 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Treatment Services Inc | 0042526899 | 13 |
| Entity Name | Legacy Treatment Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730594656 PECOS PAC ID: 0042526899 Enrollment ID: O20150825003854 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Edmund Rynkewicz, MA, EDS, LAC 514 Harbour Dr Apt B, Bensalem, PA 19020-6120 Ph: (609) 658-3426 | Douglas Edmund Rynkewicz, MA, EDS, LAC 795 Woodlane Rd Ste 300, Westampton, NJ 08060-3832 Ph: (609) 267-1377 |
Ashley Coralluzzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Ashley D Burks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 856-267-5928 | |
Hayley Hardin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Safa Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Brenda Formanek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Constance Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Kiamarae Mathes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 |