| Town Center Psychiatric Assoc | |
|
208 Monroe Street Rockville MD 20850 | |
| (301) 309-8200 | |
| (301) 309-9667 |
| Full Name | Town Center Psychiatric Assoc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 208 Monroe Street, Rockville, Maryland |
| Authorized Official Name and Position | Heather A Jaconski (BILLING REPRESENTATIVE) |
| Authorized Official Contact | 3019531266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Center Psychiatric Assoc 208 Monroe Street Rockville MD 20850 Ph: (301) 309-8200 | Town Center Psychiatric Assoc 208 Monroe Street Rockville MD 20850 Ph: (301) 309-8200 |
| NPI Number | 1396802567 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 12/27/2007 |
| Medicare PECOS PAC ID | 2365334737 |
|---|---|
| Medicare Enrollment ID | O20040329001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396802567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Cheryl K Facemire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801935150 PECOS PAC ID: 1456380310 Enrollment ID: I20050810001067 |
| Provider Name | Constance Rojas Macy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407021777 PECOS PAC ID: 8224101662 Enrollment ID: I20080724000522 |
| Provider Name | Peter V Blaes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275690406 PECOS PAC ID: 9537176193 Enrollment ID: I20080904000083 |
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