| Freeman M Chakara Pc | |
|
219 W Main St Leola PA 17540-1753 | |
| (717) 556-0149 | |
| (717) 556-0149 |
| Full Name | Freeman M Chakara Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 219 W Main St, Leola, Pennsylvania |
| Authorized Official Name and Position | Freeman M Chakara (OWNER) |
| Authorized Official Contact | 7175560149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeman M Chakara Pc 2003 Old Rothsville Rd Lititz PA 17543-9133 Ph: (717) 556-0149 | Freeman M Chakara Pc 219 W Main St Leola PA 17540-1753 Ph: (717) 556-0149 |
| NPI Number | 1952328833 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 07/02/2013 |
| Medicare PECOS PAC ID | 8527061902 |
|---|---|
| Medicare Enrollment ID | O20061207000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952328833 | NPI | - | NPPES |
| 001334567 | Other | PA | HIGHMARK BLUE SHIELD |
| 001897858 | Medicaid | PA | |
| 02271001 | Other | PA | CAPITAL BLUE CROSS |
| 1548467 | Other | PA | GATEWAY MEDICARE ASSURED |
| 680015251 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PS009409 (Pennsylvania) | Primary |
| Provider Name | Freeman Marc Chakara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336190966 PECOS PAC ID: 0345223384 Enrollment ID: I20040610000599 |
| Provider Name | Diane Marie Niesley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205997368 PECOS PAC ID: 7012921232 Enrollment ID: I20060126000789 |
| Provider Name | Kim L Florio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578987327 PECOS PAC ID: 0749404804 Enrollment ID: I20140610002134 |
| Provider Name | Kimberly A Lovelock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164932083 PECOS PAC ID: 6002173937 Enrollment ID: I20171201001757 |
| Provider Name | Joanna Swartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497108179 PECOS PAC ID: 4880924547 Enrollment ID: I20190923001255 |
| Provider Name | Justin Steele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932747482 PECOS PAC ID: 2466882030 Enrollment ID: I20200422001250 |
| Provider Name | Margene Imboden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912193574 PECOS PAC ID: 6709227267 Enrollment ID: I20240515000728 |
Metanoia Counseling & Consultation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 E Main St Ste 203, Leola, PA 17540 Phone: 717-752-4886 | |
T. W. Ponessa And Associates Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 School Drive, Leola, PA 17540 Phone: 717-560-7917 Fax: 717-560-6452 | |
Cobys Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1417 Oregon Rd, Leola, PA 17540 Phone: 717-656-6580 | |
Crossroads Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Keystone Ct, Leola, PA 17540 Phone: 717-556-4673 Fax: 717-656-4501 | |
Community Care & Addiction Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Leola, PA 17540 Phone: 717-696-5442 Fax: 717-656-7330 |