| Merakey Pennsylvania | |
|
106 Heymann Blvd Lafayette LA 70503-2322 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | Merakey Pennsylvania |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 106 Heymann Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Norman E Tilson (CORP SR DIRECTOR OF BUS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merakey Pennsylvania 4251 Crums Mill Rd Harrisburg PA 17112-2824 Ph: (215) 836-3131 | Merakey Pennsylvania 106 Heymann Blvd Lafayette LA 70503-2322 Ph: (215) 836-3131 |
| NPI Number | 1033484019 |
|---|---|
| Provider Enumeration Date | 03/09/2012 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 9032199856 |
|---|---|
| Medicare Enrollment ID | O20180103002561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033484019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Chaudoir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831435742 PECOS PAC ID: 3870710171 Enrollment ID: I20140811001117 |
| Provider Name | Richelle Van Buren-walls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871898437 PECOS PAC ID: 6507127784 Enrollment ID: I20180305000527 |
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