Mr Robert W Gotwalt, MS CCDP DIPLOMATE is a
Counselor - Addiction (substance Use Disorder) based in Hbg., Pennsylvania. Mr Robert W Gotwalt is licensed to practice in Pennsylvania (license number CERT.# 6218) and his current practice location is
120 East Azalea Drive, Hbg., Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(717) 772-7513.
NPI number for Mr Robert W Gotwalt is 1528185279 and his current mailing address is Po Box 2675, Dpw-omhsas Logan Building, Harrisburg, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528185279.
Healthcare Provider's Profile
| Full Name | Mr Robert W Gotwalt |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 120 East Azalea Drive, Hbg., Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528185279
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Robert W Gotwalt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528185279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CERT.# 6218 (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. Mr Robert W Gotwalt 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 Robert W Gotwalt, MS CCDP DIPLOMATE
Po Box 2675, Dpw-omhsas Logan Building,
Harrisburg, PA 17105-2675
Ph: (717) 772-7513 | Mr Robert W Gotwalt, MS CCDP DIPLOMATE
120 East Azalea Drive,
Hbg., PA 17110-3594
Ph: (717) 772-7513 |
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