| Rene Schwiesow, | |
|
41 Pacella Park Dr, Randolph, MA 02368-1755 | |
| (781) 440-0400 | |
| Not Available |
| Full Name | Rene Schwiesow |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 41 Pacella Park Dr, Randolph, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003181272 | NPI | - | NPPES |
| 110026265 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Northeast Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Rene Schwiesow, 41 Pacella Park Dr, Randolph, MA 02368-1755 Ph: (781) 440-0400 | Rene Schwiesow, 41 Pacella Park Dr, Randolph, MA 02368-1755 Ph: (781) 440-0400 |
Kafunda Banks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Alexander Gasdia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Courtney Destremps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Mr. Michael Thomas Quinn, BCBA SPED Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr., May Institute, Randolph, MA 02368 Phone: 781-437-1400 | |
Victoria Symkus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 | |
Gabrielle N Bartholomew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400 |