Maria T Deaugustino, LPC is a
Counselor - Professional based in West Middlesex, Pennsylvania. Maria T Deaugustino is licensed to practice in Pennsylvania (license number PC001064) and her current practice location is
3143 Main St Ste 3, West Middlesex, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(724) 674-1594.
NPI number for Maria T Deaugustino is 1831213784 and her current mailing address is 25 Stonehouse Ln, New Wilmington, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831213784.
Healthcare Provider's Profile
| Full Name | Maria T Deaugustino |
|---|
| Gender | Female |
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| Speciality | Counselor - Professional |
|---|
| Location | 3143 Main St Ste 3, West Middlesex, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831213784
- Provider Enumeration Date: 03/18/2007
- Last Update Date: 03/23/2021
Medical Identifiers
Medical identifiers for Maria T Deaugustino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831213784 | NPI | - | NPPES |
| 110704 | Other | PA | VALUE OPTIONS VENDOR NUMB |
| 001308035 | Other | PA | MANAGED CARE VENDOR NUMBE |
| 001578297 | Other | PA | KEYSTONE BLUE WEST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | PC001064 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PC001064 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maria T Deaugustino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Maria T Deaugustino, LPC
25 Stonehouse Ln,
New Wilmington, PA 16142-1623
Ph: (724) 674-1594 | Maria T Deaugustino, LPC
3143 Main St Ste 3,
West Middlesex, PA 16159-3419
Ph: (724) 674-1594 |
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