| Dr Ernesto Roederer, MD | |
|
514 W 3rd Ave, Warren, PA 16365-2201 | |
| (814) 723-5545 | |
| (814) 723-6355 |
| Full Name | Dr Ernesto Roederer |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 514 W 3rd Ave, Warren, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790714905 | NPI | - | NPPES |
| 271900 | Other | PA | HEALTH AMERICA/VALUE OPTI |
| 00050294001 | Other | PA | UNIVERA |
| 748501 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD050021L (Pennsylvania) | Primary |
| Entity Name | Deerfield Behavioral Health Of Warren, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134158314 PECOS PAC ID: 8325935661 Enrollment ID: O20040302000638 |
| Entity Name | Childrens Center For Treatment And Education |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366609646 PECOS PAC ID: 4880750017 Enrollment ID: O20090312000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ernesto Roederer, MD 514 W 3rd Ave, Warren, PA 16365-2201 Ph: (814) 723-5545 | Dr Ernesto Roederer, MD 514 W 3rd Ave, Warren, PA 16365-2201 Ph: (814) 723-5545 |
Dr. Herman Grishaver, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12 Crescent Park, Warren, PA 16365 Phone: 814-723-1961 Fax: 814-723-6543 | |
John Puthenpurackal John, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 514 W 3rd Ave, Warren, PA 16365 Phone: 814-723-5545 Fax: 814-723-6355 | |
Dr. Charles Bryan Norton, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 514 W 3rd Ave, Warren, PA 16365 Phone: 814-723-5545 Fax: 814-723-6355 | |
Craig Garry Richman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1003 Pennsylvania Ave W, Warren, PA 16365 Phone: 814-723-6355 Fax: 814-723-5545 |