| Centerville Clinics , Inc. | |
|
1070 Old National Pike Fredericktown PA 15333-2114 | |
| (724) 632-6801 | |
| (724) 632-6312 |
| Full Name | Centerville Clinics , Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Authorized Official Name and Position | Patricia Martos (DIRECTOR PERSONNEL/FINANCE) |
| Authorized Official Contact | 7246326801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Clinics , Inc. 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics , Inc. 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-6801 |
| NPI Number | 1235110156 |
|---|---|
| Provider Enumeration Date | 11/08/2005 |
| Last Update Date | 06/11/2010 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20100720000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235110156 | NPI | - | NPPES |
| 031218 | Other | PA | HGSA - MEDICARE |
| 031218 | Other | PA | HIGHMARK - BLUE SHIELD |
| 001804928 | Other | PA | HIGHMARK BLUE SHIELD |
| 328834A336347 | Other | PA | VALUE BEHAVIORAL HEALTH |
| 1007288440027 | Medicaid | PA |
| Provider Name | Dylan A Morrell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811661036 PECOS PAC ID: 6608227145 Enrollment ID: I20240109001402 |
| Provider Name | Brandon Sheetz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578339511 PECOS PAC ID: 5193177996 Enrollment ID: I20240216001907 |
| Provider Name | Darcie L Coen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194150045 PECOS PAC ID: 2163872276 Enrollment ID: I20240301001326 |
| Provider Name | Lisa A Korzun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578012902 PECOS PAC ID: 8729425350 Enrollment ID: I20240319001670 |
| Provider Name | Sara L Voigt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689341570 PECOS PAC ID: 2062863707 Enrollment ID: I20240405003402 |
| Provider Name | Carolyn J Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447874474 PECOS PAC ID: 0840640967 Enrollment ID: I20240514004203 |
| Provider Name | Lisa A Bodnar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598937369 PECOS PAC ID: 5294176749 Enrollment ID: I20240515000546 |
Centerville Clinics Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 Fax: 724-632-6312 | |
Centerville Clinics Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 Phone: 724-267-4935 Fax: 724-267-4937 | |
Centerville Clinics Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Beth Center Elementary School, 194 Crawford Road, Fredericktown, PA 15333 Phone: 724-267-4944 Fax: 724-267-4905 |