| Dr Phyllis Mogielski Watson, LPCC | |
|
70 Birch Aly, Beavercreek, OH 45440-1479 | |
| (800) 892-2695 | |
| Not Available |
| Full Name | Dr Phyllis Mogielski Watson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 22 Years |
| Location | 70 Birch Aly, Beavercreek, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295909851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180001282 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | E.2303621 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pursuecare, Llc | 4587998927 | 23 |
| Pursuecare, Llc | 4587998927 | 23 |
| Pursuecare, Llc | 4587998927 | 23 |
| Pursuecare, Llc | 4587998927 | 23 |
| Pursuecare, Llc | 4587998927 | 23 |
| Pursuecare, Llc | 4587998927 | 23 |
| Entity Name | Pursuecare, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962068296 PECOS PAC ID: 4587998927 Enrollment ID: O20200521002810 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phyllis Mogielski Watson, LPCC 2960 Camino Diablo Ste 105, Walnut Creek, CA 94597-3945 Ph: () - | Dr Phyllis Mogielski Watson, LPCC 70 Birch Aly, Beavercreek, OH 45440-1479 Ph: (800) 892-2695 |
Tyler Matthew Peckham, Counselor Medicare: Accepting Medicare Assignments Practice Location: 3359 Kemp Rd Ste 200, Beavercreek, OH 45431 Phone: 937-490-2090 Fax: 937-490-2780 | |
David J Tieman, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 Research Park Dr, Beavercreek, OH 45432 Phone: 937-427-3837 Fax: 937-427-4516 | |
Mrs. Deborah Kaye Baldwin, MS LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3351 Dayton Xenia Rd, Suite D, Beavercreek, OH 45432 Phone: 937-431-5035 Fax: 937-320-0824 | |
Lynn Oliver, Counselor Medicare: Medicare Enrolled Practice Location: 1321 Research Park Dr, Beavercreek, OH 45432 Phone: 937-437-3837 | |
Chester R Raleigh, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3183 Beaver Vu Dr Ste C, Beavercreek, OH 45434 Phone: 937-431-8014 Fax: 937-431-8042 | |
John Hartman, Counselor Medicare: Medicare Enrolled Practice Location: 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 Phone: 937-558-3900 Fax: 937-558-3999 | |
Nicklas Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3171 Beaver Vu Dr Ste C, Beavercreek, OH 45434 Phone: 937-306-8077 |