| Peter John Koshar Jr, LMSW | |
|
57418 County Road 681, Hartford, MI 49057-9421 | |
| (269) 657-5574 | |
| Not Available |
| Full Name | Peter John Koshar Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 57418 County Road 681, Hartford, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912396516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Van Buren Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003878554 PECOS PAC ID: 6800863788 Enrollment ID: O20081119000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter John Koshar Jr, LMSW 57418 County Road 681 Ste B, Hartford, MI 49057-9422 Ph: (269) 657-5574 | Peter John Koshar Jr, LMSW 57418 County Road 681, Hartford, MI 49057-9421 Ph: (269) 657-5574 |
Ms. Janet Crawford, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 57418 County Road 681, Hartford, MI 49057 Phone: 269-621-3143 Fax: 269-621-2725 | |
Mr. Steven Jay Koster, COUNSELRO EDUC LTD Counselor Medicare: Medicare Enrolled Practice Location: 57150 Cr 681, Hartford, MI 49057 Phone: 269-621-2800 Fax: 269-621-2962 | |
Samie Ledyard, LLPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 57418 County Road 681, Hartford, MI 49057 Phone: 269-621-3143 Fax: 269-621-2725 |