Kimberly S Dirzuweit, | |
107 Edgewood Rd, Edgewood, MD 21040-3304 | |
(443) 461-3311 | |
Not Available |
Full Name | Kimberly S Dirzuweit |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 107 Edgewood Rd, Edgewood, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922764315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC2235 (Maryland) | Primary |
Entity Name | Norkris Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487025094 PECOS PAC ID: 3375848625 Enrollment ID: O20160224000847 |
Mailing Address | Practice Location Address |
---|---|
Kimberly S Dirzuweit, 23 Alton St, Aberdeen, MD 21001-2201 Ph: (443) 206-6135 | Kimberly S Dirzuweit, 107 Edgewood Rd, Edgewood, MD 21040-3304 Ph: (443) 461-3311 |
Destiny Angel Williams, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1539 Charlestown Dr, Edgewood, MD 21040 Phone: 202-222-8474 | |
Dillon Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-261-3311 | |
Mrs. Amanda Louise Boblitz-mcfadden, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Orchid Ct, Edgewood, MD 21040 Phone: 443-243-4140 | |
Jessica Summer Davis, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way, Edgewood, MD 21040 Phone: 443-461-3311 | |
Christina Benboudiaf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1434 Harford Square Dr, Edgewood, MD 21040 Phone: 716-261-9488 | |
Shanelle Smothers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-461-3311 | |
Avery Langsner, CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way Ste 102, Edgewood, MD 21040 Phone: 443-461-3311 |