Michael Bertolino, | |
1170 S State St, Ephrata, PA 17522-2601 | |
(717) 859-8000 | |
Not Available |
Full Name | Michael Bertolino |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1170 S State St, Ephrata, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861006058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC011866 (Pennsylvania) | Primary |
Entity Name | Community Services Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265426084 PECOS PAC ID: 1052201571 Enrollment ID: O20040318000465 |
Mailing Address | Practice Location Address |
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Michael Bertolino, 1170 S State St, Ephrata, PA 17522-2601 Ph: (717) 859-8000 | Michael Bertolino, 1170 S State St, Ephrata, PA 17522-2601 Ph: (717) 859-8000 |
Judy Rupp, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 344 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 Fax: 717-738-0606 | |
Ms. Bernadette Cafoncelli, BA, CDAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 E Locust St, Ephrata, PA 17522 Phone: 717-733-8898 | |
Lindsey Kathryn Richards, MA, LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1170 S State St, Ephrata, PA 17522 Phone: 717-859-8000 | |
Mrs. Kelly Gearty, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 E Locust St, Ephrata, PA 17522 Phone: 717-394-5334 Fax: 717-733-2414 | |
Chloe Rashelle Tarson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 | |
Kylee Ann Metz, MS, CAADC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1170 S State St, Ephrata, PA 17522 Phone: 717-859-8000 | |
Dr. Timothy G Calvin, PSYD, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1170 S State St, Ephrata, PA 17522 Phone: 717-859-8000 |