| Pbj Connections, Inc. | |
|
9734 Jug St Nw Pataskala OH 43062-9746 | |
| (614) 395-1395 | |
| (740) 924-2002 |
| Full Name | Pbj Connections, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 9734 Jug St Nw, Pataskala, Ohio |
| Authorized Official Name and Position | Holly E Jedlicka (PROGRAM DIRECTOR/THERAPIST) |
| Authorized Official Contact | 6143951395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pbj Connections, Inc. 9734 Jug St Nw Pataskala OH 43062-8691 Ph: (614) 395-1395 | Pbj Connections, Inc. 9734 Jug St Nw Pataskala OH 43062-9746 Ph: (614) 395-1395 |
| NPI Number | 1821302654 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 10/15/2016 |
| Medicare PECOS PAC ID | 1456613967 |
|---|---|
| Medicare Enrollment ID | O20180321002221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821302654 | NPI | - | NPPES |
| 2807341 | Medicaid | OH |
| Provider Name | Anissa Kasarjian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508387069 PECOS PAC ID: 4688933914 Enrollment ID: I20180112001667 |
| Provider Name | Holly Jedlicka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033460480 PECOS PAC ID: 1254693765 Enrollment ID: I20180321002371 |
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