| Stairways Behavioral Health | |
|
2910 State St Erie PA 16508-1832 | |
| (814) 454-5686 | |
| (814) 454-8946 |
| Full Name | Stairways Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2910 State St, Erie, Pennsylvania |
| Authorized Official Name and Position | Ann Mare Ernst (SUPERVISOR OF BILLING) |
| Authorized Official Contact | 8144648311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stairways Behavioral Health 2185 W 8th St Erie PA 16505-4747 Ph: (814) 464-8311 | Stairways Behavioral Health 2910 State St Erie PA 16508-1832 Ph: (814) 454-5686 |
| NPI Number | 1003854241 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 02/12/2019 |
| Medicare PECOS PAC ID | 0143117697 |
|---|---|
| Medicare Enrollment ID | O20040301000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003854241 | NPI | - | NPPES |
| 1000063480008 | Medicaid | PA | |
| 1601718 | Other | HIGHMARK BC BS |
| Provider Name | Sean C Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346211414 PECOS PAC ID: 5395638621 Enrollment ID: I20040202001141 |
| Provider Name | Joan F Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588687321 PECOS PAC ID: 2466531033 Enrollment ID: I20080507000415 |
| Provider Name | Abdulkarim Hanna Aslo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366866006 PECOS PAC ID: 3678796323 Enrollment ID: I20140527000991 |
| Provider Name | Sheryl L Kridler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306196340 PECOS PAC ID: 0547412389 Enrollment ID: I20170607003148 |
| Provider Name | Justin P Aleia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093076622 PECOS PAC ID: 9032481445 Enrollment ID: I20170821000331 |
| Provider Name | Edna Stickell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639572076 PECOS PAC ID: 5193099620 Enrollment ID: I20170922001100 |
| Provider Name | Kimberly Streiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447504295 PECOS PAC ID: 8628216488 Enrollment ID: I20171120000650 |
| Provider Name | Lianna Koser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346995073 PECOS PAC ID: 4486041068 Enrollment ID: I20220428002767 |
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