| Pa Memory And Behavioral Care Llc | |
|
641 N 13th St Ste E-101 Easton PA 18042-1430 | |
| (973) 295-6335 | |
| (862) 204-3456 |
| Full Name | Pa Memory And Behavioral Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 641 N 13th St Ste E-101, Easton, Pennsylvania |
| Authorized Official Name and Position | Matthew E Barnas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9732956335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pa Memory And Behavioral Care Llc 14 Ridgedale Ave Ste 103 Cedar Knolls NJ 07927-1106 Ph: (973) 295-6335 | Pa Memory And Behavioral Care Llc 641 N 13th St Ste E-101 Easton PA 18042-1430 Ph: (973) 295-6335 |
| NPI Number | 1437855855 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 3476918558 |
|---|---|
| Medicare Enrollment ID | O20230425000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437855855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sai Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679119150 PECOS PAC ID: 3870914369 Enrollment ID: I20200609003090 |
| Provider Name | Gretchen Delone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932692043 PECOS PAC ID: 4789091307 Enrollment ID: I20210327000070 |
| Provider Name | Christiana Nduka-onwuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962027979 PECOS PAC ID: 9032526827 Enrollment ID: I20210721004195 |
| Provider Name | Thomas E Masullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821756057 PECOS PAC ID: 9335533470 Enrollment ID: I20220307000381 |
| Provider Name | Matthew Barnas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285609206 PECOS PAC ID: 1456336429 Enrollment ID: I20230502001426 |
| Provider Name | Unnati Patel |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1558523597 PECOS PAC ID: 4183854029 Enrollment ID: I20230524000064 |
| Provider Name | Jennifer Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801470414 PECOS PAC ID: 3971993973 Enrollment ID: I20230601000460 |
| Provider Name | Andrew Kanyote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740971977 PECOS PAC ID: 0547620213 Enrollment ID: I20230713002697 |
| Provider Name | Caroline Adjei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780987784 PECOS PAC ID: 8022471234 Enrollment ID: I20230905003080 |
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