| Reginald Jay Brice, | |
|
29520 Canvasback Dr, Easton, MD 21601-7124 | |
| (410) 822-5007 | |
| Not Available |
| Full Name | Reginald Jay Brice |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 29520 Canvasback Dr, Easton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649648601 | NPI | - | NPPES |
| 609550002 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Reginald Jay Brice, 2336 Goddard Pkwy, Salisbury, MD 21801-1126 Ph: (410) 334-6961 | Reginald Jay Brice, 29520 Canvasback Dr, Easton, MD 21601-7124 Ph: (410) 822-5007 |
Mrs. Elizabeth Ann Simpers, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 29520 Canvasback Dr, Easton, MD 21601 Phone: 410-822-5007 Fax: 410-822-5569 | |
Theodore Landon Lauer, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 29520 Canvasback Dr, Easton, MD 21601 Phone: 410-822-5007 Fax: 410-822-5569 | |
Dr. Mark Arnold Carpenter, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Bay St Ste 307, Easton, MD 21601 Phone: 410-819-5915 Fax: 410-819-0591 | |
Lisa Thomas, LPCMH, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 8133 Elliott Rd Ste 236a, Easton, MD 21601 Phone: 410-757-2077 | |
Mrs. Robin P Meekins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29516 Canvasback Dr, Easton, MD 21601 Phone: 410-822-5007 Fax: 410-822-5569 | |
Mrs. Brighton K Laznovsky, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 S Hanson St, Easton, MD 21601 Phone: 410-819-5617 Fax: 410-819-5691 | |
Lisa Marie Lusby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29520 Canvasback Dr, Easton, MD 21601 Phone: 410-822-5007 |