Mrs Toni Sue Gerhart, MA, LPC - Medicare Counselor in Wyomissing, PA

Mrs Toni Sue Gerhart, MA, LPC is a medicare enrolled "Counselor - Mental Health" provider in Wyomissing, Pennsylvania. Her current practice location is 1235 Penn Ave, Suite 205-206, Wyomissing, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 374-4963.

Mrs Toni Sue Gerhart is licensed to practice in Pennsylvania (license number PC002766) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891849428.

Contact Information

Mrs Toni Sue Gerhart, MA, LPC
1235 Penn Ave, Suite 205-206,
Wyomissing, PA 19610-2100
(610) 374-4963
(610) 378-5403

Map and Direction


Healthcare Provider's Profile

Full NameMrs Toni Sue Gerhart
GenderFemale
SpecialityCounselor - Mental Health
Location1235 Penn Ave, Wyomissing, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891849428
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6709956469
  • Enrollment ID: I20240124003594

Medical Identifiers

Medical identifiers for Mrs Toni Sue Gerhart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891849428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health PC002766 (Pennsylvania)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Toni Sue Gerhart allows following entities to bill medicare on her behalf.
Entity NameFamily Guidance Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932268356
PECOS PAC ID: 1850291303
Enrollment ID: O20040112000049

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. Mrs Toni Sue Gerhart is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Toni Sue Gerhart, MA, LPC
1235 Penn Ave, Suite 205-206,
Wyomissing, PA 19610-2100

Ph: (610) 374-4963
Mrs Toni Sue Gerhart, MA, LPC
1235 Penn Ave, Suite 205-206,
Wyomissing, PA 19610-2100

Ph: (610) 374-4963

Reviews and Comments


Counselor in Wyomissing, PA

Melissa Lopez, LCSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 833 N Park Rd Ste 101, Wyomissing, PA 19610
Phone: 610-396-5094    Fax: 484-854-0715
Tanja Theresia Soto, LPC, BCBA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1235 Penn Ave Ste 206, Wyomissing, PA 19610
Phone: 610-374-4963    
Kaili Ann Mckernan,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 7 Bristol Ct, Wyomissing, PA 19610
Phone: 484-706-9465    
Stephanie Lynn Taylor,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 716 N Park Rd, Wyomissing, PA 19610
Phone: 610-375-0544    Fax: 610-378-9779
Latasha M Thomas, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4 Wellington Blvd Ste 101, Wyomissing, PA 19610
Phone: 484-987-7116    Fax: 717-208-7753
Shelby Moses,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4 Park Plz Ste 105b, Wyomissing, PA 19610
Phone: 855-284-7483    
Susan Costa, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4 Wellington Blvd, Wyomissing, PA 19610
Phone: 610-678-7300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.