| Marc E Bagnasco, LPC | |
|
2700 N. 3rd Street, Suite 2008, Phoenix, AZ 85004 | |
| (602) 264-4600 | |
| (602) 264-7325 |
| Full Name | Marc E Bagnasco |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2700 N. 3rd Street, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700969011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-11119 (Arizona) | Primary |
| Entity Name | Adelante Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083772545 PECOS PAC ID: 4688588643 Enrollment ID: O20031114000335 |
| Entity Name | Healing Wounds Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780033787 PECOS PAC ID: 1254623432 Enrollment ID: O20160708000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc E Bagnasco, LPC 2700 N. 3rd Street, Suite 2008, Phoenix, AZ 85004 Ph: (602) 264-4600 | Marc E Bagnasco, LPC 2700 N. 3rd Street, Suite 2008, Phoenix, AZ 85004 Ph: (602) 264-4600 |
Ms. Martha White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3306 W Catalina Dr, Phoenix, AZ 85017 Phone: 602-353-0703 Fax: 602-353-0715 | |
Philip Lee Mcdonald, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1648 S 16th St, Phoenix, AZ 85034 Phone: 714-235-1970 | |
Melinda Chapin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3640 W Osborn Rd, Phoenix, AZ 85019 Phone: 602-269-5300 Fax: 602-269-5380 | |
Beverly Seyler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4525 E Saint Anne Ave, Phoenix, AZ 85042 Phone: 602-431-6685 | |
Mrs. Virginia Joyce Gatson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-1940 Fax: 602-685-1944 | |
Margaret Ann Beresford, MC, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4545 N. 36th Street, Suite 117, Phoenix, AZ 85018 Phone: 602-509-5771 | |
Kevin Jessup, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4214 N 19th Pl, Phoenix, AZ 85016 Phone: 602-460-5350 |