Mr Jonathan Thomas Petrole, MS, LPC is a
Counselor - Professional based in Tresckow, Pennsylvania. Mr Jonathan Thomas Petrole is licensed to practice in * (Not Available) (license number ) and his current practice location is
36 North Chestnut Street, Tresckow, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 582-8621.
NPI number for Mr Jonathan Thomas Petrole is 1285125575 and his current mailing address is 36 North Chestnut Street, Tresckow, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285125575.
Healthcare Provider's Profile
Full Name | Mr Jonathan Thomas Petrole |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 36 North Chestnut Street, Tresckow, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285125575
- Provider Enumeration Date: 05/23/2018
- Last Update Date: 02/11/2019
Medical Identifiers
Medical identifiers for Mr Jonathan Thomas Petrole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285125575 | NPI | - | NPPES |
0005442270002 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | 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. Mr Jonathan Thomas Petrole 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 |
Mr Jonathan Thomas Petrole, MS, LPC 36 North Chestnut Street, Tresckow, PA 18254 Ph: (570) 582-8621 | Mr Jonathan Thomas Petrole, MS, LPC 36 North Chestnut Street, Tresckow, PA 18254 Ph: (570) 582-8621 |
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