Camilla Rebuck (NPI# 1508106550, PAC ID# 2860744034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1508106550 |
PAC ID by PECOS | 2860744034 |
Professional Enrollment ID | I20181016003870 |
Full Name | Camilla Rebuck |
Organization Legal Name | EASTERN PANHANDLE PSYCHIATRY PC |
Address |
51 St of Dreams Martinsburg WV 25403-1134 |
Phone Number | 3042641442 |
Gender | F |
Medical School | WEST COAST CHIROPRACTIC COLLEGE |
Graduation Year | 2003 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 9931154176 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
51 St of Dreams, Martinsburg, WV 25403-1134 | 3042641442 | EASTERN PANHANDLE PSYCHIATRY PC |
Organization Legal Name | EASTERN PANHANDLE PSYCHIATRY PC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
William Perks | Clinical Social Worker | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Faith Hanshew | Clinical Social Worker | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Shahnoor Ali Khan | Psychiatry | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Mary Wharton | Clinical Social Worker | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Barbara Kadesky | Nurse Practitioner | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Street Address |
51 ST OF DREAMS |
City | MARTINSBURG |
State | WV |
Zip | 25403-1134 |
Name | Specialty | Organization | Address |
---|---|---|---|
William Perks | Clinical Social Worker | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Faith Hanshew | Clinical Social Worker | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Shahnoor Ali Khan | Psychiatry | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Mary Wharton | Clinical Social Worker | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Barbara Kadesky | Nurse Practitioner | Eastern Panhandle Psychiatry PC | 51 St of Dreams, Martinsburg, WV 25403-1134 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason B Swalm | Family Medicine | 3 Ceritos Trail, Martinsburg, WV 25403 | |
Kerry V Bertschinger | Chiropractic | 9763 Tuscarora Pike, Martinsburg, WV 25403-1000 | |
Cody Eccard | Physician Assistant | Medexpress Urgent Care Inc West Virginia | 83 Retail Commons Pkwy, Martinsburg, WV 25403-6172 |
Eduardo D Zamora | Neurology | 93 Crimson Cir, Martinsburg, WV 25403-6397 | |
John R Haram | Clinical Social Worker | 93 Crimson Cir, Martinsburg, WV 25403-6397 | |
Emily K Osterman | Clinical Psychologist | Panhandle Psychological Center Pllc | 93 Crimson Cir, Martinsburg, WV 25403-6397 |
City | MARTINSBURG |
Zip Code | 25403 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | MARTINSBURG + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.