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32 Whisper Creek Dr Suite 7 Lewisburg PA 17837-7770 | |
| (570) 522-0304 | |
| (570) 522-0475 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 32 Whisper Creek Dr, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Matthew Lynn Emery (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5705220304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
32 Whisper Creek Dr Suite 7 Lewisburg PA 17837-7770 Ph: (570) 522-0304 | 32 Whisper Creek Dr Suite 7 Lewisburg PA 17837-7770 Ph: (570) 522-0304 |
| NPI Number | 1144287301 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 06/23/2014 |
| Medicare PECOS PAC ID | 7214021526 |
|---|---|
| Medicare Enrollment ID | O20070918000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144287301 | NPI | - | NPPES |
| 1019581500001 | Medicaid | PA | |
| EM1824598 | Other | PA | HIGHMARK BLUE SHIELD |
| 1019047770002 | Medicaid | PA | |
| 1019060380002 | Medicaid | PA | |
| 1022694370001 | Medicaid | PA | |
| 1015177000001 | Medicaid | PA |
| Provider Name | Karen Elaine Kauffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265473961 PECOS PAC ID: 8820094790 Enrollment ID: I20061017000238 |
| Provider Name | Tyson Switzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740581859 PECOS PAC ID: 9931340890 Enrollment ID: I20150708000771 |
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