| Northeast Counseling Services | |
|
1700 W 22nd St Hazle Township PA 18202-1535 | |
| (570) 455-6385 | |
| Not Available |
| Full Name | Northeast Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 W 22nd St, Hazle Township, Pennsylvania |
| Authorized Official Name and Position | Fran Emershaw (EXEC. DIRECTOR) |
| Authorized Official Contact | 5707357590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Counseling Services 663 E Main St Nanticoke PA 18634-1825 Ph: () - | Northeast Counseling Services 1700 W 22nd St Hazle Township PA 18202-1535 Ph: (570) 455-6385 |
| NPI Number | 1649608530 |
|---|---|
| Provider Enumeration Date | 10/31/2013 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 5799768115 |
|---|---|
| Medicare Enrollment ID | O20040608000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649608530 | NPI | - | NPPES |
| 1007615710073 | Medicaid | PA | |
| 1007615710078 | Medicaid | PA | |
| 1007615710079 | Medicaid | PA | |
| 1007615710081 | Medicaid | PA | |
| 1007615710083 | Medicaid | PA | |
| 1007615710065 | Medicaid | PA | |
| 1007615710074 | Medicaid | PA | |
| 1007615710082 | Medicaid | PA | |
| 1007615710076 | Medicaid | PA | |
| 1007615710077 | Medicaid | PA | |
| 1007615710080 | Medicaid | PA | |
| 1007615710084 | Medicaid | PA | |
| 1007615710075 | Medicaid | PA |
| Provider Name | David Liskov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780683417 PECOS PAC ID: 1658355011 Enrollment ID: I20040615000509 |
| Provider Name | Khalid Mahmood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265491054 PECOS PAC ID: 4587637764 Enrollment ID: I20041005000846 |
| Provider Name | Mark J Saxon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255389326 PECOS PAC ID: 3476506320 Enrollment ID: I20050302001022 |
| Provider Name | Nilesh H Baxi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851322457 PECOS PAC ID: 5698717197 Enrollment ID: I20050525000351 |
| Provider Name | Rajendra P Gajula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124011614 PECOS PAC ID: 6608890397 Enrollment ID: I20060120000561 |
| Provider Name | Patalam S Sriharsha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154377562 PECOS PAC ID: 9234392390 Enrollment ID: I20120530000166 |
| Provider Name | Barbara L Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043656721 PECOS PAC ID: 4082856083 Enrollment ID: I20130803000020 |
| Provider Name | Adharsh Sahadevan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376703769 PECOS PAC ID: 6103060827 Enrollment ID: I20130919000637 |
| Provider Name | Nicole M Polashenski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710275102 PECOS PAC ID: 6305152901 Enrollment ID: I20150827001125 |
| Provider Name | Kami Leigh Nestler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346713716 PECOS PAC ID: 1052652773 Enrollment ID: I20190408000481 |
| Provider Name | Samantha Mary Steinbrenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082665 PECOS PAC ID: 8022497403 Enrollment ID: I20220614003340 |
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Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Oak Ridge Rd, Hazle Township, PA 18202 Phone: 623-277-1190 | |
Greater Hazleton Gastroenterology, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Park Pl, Hazle Township, PA 18202 Phone: 570-617-6224 Fax: 570-454-2144 | |
Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Moisey Dr Ste 101, Hazle Township, PA 18202 Phone: 570-459-2226 | |
Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Station Cir, Hazle Township, PA 18202 Phone: 570-861-8717 |