| Dr Ella H Pecsok, PHD | |
|
2302 Colonial Ave Sw Ste G2, Roanoke, VA 24015-3100 | |
| (757) 375-5252 | |
| Not Available |
| Full Name | Dr Ella H Pecsok |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 2302 Colonial Ave Sw Ste G2, Roanoke, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780695064 | NPI | - | NPPES |
| 007705484 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0810001737 (Virginia) | Primary |
| 103TC0700X | Psychologist - Clinical | 810001737 (Virginia) | Secondary |
| Entity Name | Neuropsych Roanoke LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942187430 PECOS PAC ID: 3375030042 Enrollment ID: O20251015004285 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ella H Pecsok, PHD 2302 Colonial Ave Sw Ste G2, Roanoke, VA 24015-3100 Ph: (757) 375-5252 | Dr Ella H Pecsok, PHD 2302 Colonial Ave Sw Ste G2, Roanoke, VA 24015-3100 Ph: (757) 375-5252 |
Allison Ann Poggendorf, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6034 Wimbledon Ct, Roanoke, VA 24018 Phone: 540-598-0354 |
Nicole Pagano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-561-3900 |
Ms. Lisa Jane Booan, M.ED, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5901 Plantation Cir, Roanoke, VA 24019 Phone: 540-561-8175 |
Janet Brockington Kegley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2648 Fax: 540-853-2469 |
Kristen Micheal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-562-3900 |
Savannah Marie Childers Hommema, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2502 |
Dr. Ronald L Webster, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7851 Enon Dr, Roanoke, VA 24019 Phone: 540-265-5666 Fax: 540-265-0386 |