| Consuelo Reddick, MD | |
|
300 Colonial Center Pkwy Ste 100, Roswell, GA 30076-4892 | |
| (470) 670-6319 | |
| (888) 815-3583 |
| Full Name | Consuelo Reddick |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 300 Colonial Center Pkwy Ste 100, Roswell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437214350 | NPI | - | NPPES |
| 00024706 | Medicaid | GA |
| Entity Name | Highland Rivers Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
| Entity Name | United Psychology Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063704542 PECOS PAC ID: 0648424796 Enrollment ID: O20130125000418 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20200824003406 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20200918000574 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20200928002170 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164623401 PECOS PAC ID: 0648183608 Enrollment ID: O20201218002056 |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215222617 PECOS PAC ID: 6608786306 Enrollment ID: O20210120001370 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20210510001753 |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760425862 PECOS PAC ID: 5991609737 Enrollment ID: O20210819002242 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20210825003867 |
| Mailing Address | Practice Location Address |
|---|---|
| Consuelo Reddick, MD 400 Union Ave Se Ste 200, Olympia, WA 98501-2060 Ph: (833) 351-8255 | Consuelo Reddick, MD 300 Colonial Center Pkwy Ste 100, Roswell, GA 30076-4892 Ph: (470) 670-6319 |
Meredith Mitchell, RN Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 11615 Wildwood Springs Dr, Roswell, GA 30075 Phone: 770-833-4651 | |
Amy Lee Hostetter, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 115 Vickery St Ste 100, Roswell, GA 30075 Phone: 678-883-6096 Fax: 678-373-3330 | |
Dr. Osama S. Hindash, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 801 Macy Dr, Roswell, GA 30076 Phone: 678-799-9277 Fax: 678-795-9709 | |
Rukhsana Rizvi, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1902 Macy Drive, Atlanta Psychiatric Medicine Inc, Roswell, GA 30076 Phone: 678-795-0346 | |
Dr. Richard Steven Winer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11685 Alpharetta Hwy, Suite 210, Roswell, GA 30076 Phone: 770-442-1150 Fax: 770-772-0416 | |
Kathryn Bertacchi, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 Colonial Center Pkwy, Roswell, GA 30076 Phone: 833-351-8255 | |
Sara Dawit, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-663-4649 |