| Meditelecare Of Pennsylvania Llc | |
|
600 N 2nd St Ste 401 Harrisburg PA 17101-1071 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Meditelecare Of Pennsylvania Llc |
|---|---|
| Speciality | Psychologist |
| Location | 600 N 2nd St Ste 401, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditelecare Of Pennsylvania Llc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Meditelecare Of Pennsylvania Llc 600 N 2nd St Ste 401 Harrisburg PA 17101-1071 Ph: (860) 788-6404 |
| NPI Number | 1396351847 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 8527488030 |
|---|---|
| Medicare Enrollment ID | O20201022002321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396351847 | NPI | - | NPPES |
| Provider Name | Antoinette Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205947025 PECOS PAC ID: 5294711420 Enrollment ID: I20040628000793 |
| Provider Name | Teresa Ward Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306956172 PECOS PAC ID: 1850366410 Enrollment ID: I20040827000966 |
| Provider Name | David J Rambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912131780 PECOS PAC ID: 6709936784 Enrollment ID: I20090612000372 |
| Provider Name | Danielle S Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669700258 PECOS PAC ID: 1254472533 Enrollment ID: I20100108000404 |
| Provider Name | Debra Shearer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124356415 PECOS PAC ID: 0345383550 Enrollment ID: I20100209000732 |
| Provider Name | Sandra A Stom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932437167 PECOS PAC ID: 7517097512 Enrollment ID: I20100618000233 |
| Provider Name | Jay E Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851615066 PECOS PAC ID: 5890828305 Enrollment ID: I20100804001077 |
| Provider Name | Steven J Feinstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306857560 PECOS PAC ID: 9436331097 Enrollment ID: I20110303000627 |
| Provider Name | Arlyn C Wasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891023719 PECOS PAC ID: 9830375849 Enrollment ID: I20110509000500 |
| Provider Name | Teresa Marie Siembora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699067116 PECOS PAC ID: 4789860248 Enrollment ID: I20110517000742 |
| Provider Name | Kate S Marcelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700182292 PECOS PAC ID: 7214114172 Enrollment ID: I20110602000444 |
| Provider Name | Erin A Mennig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306125497 PECOS PAC ID: 3375714587 Enrollment ID: I20110920000538 |
| Provider Name | Robert W Shambaugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245446673 PECOS PAC ID: 7719150457 Enrollment ID: I20111025000816 |
| Provider Name | Megan M Lofgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619252848 PECOS PAC ID: 2466627948 Enrollment ID: I20111212000571 |
| Provider Name | Tracey Shivok-jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053699025 PECOS PAC ID: 1557528957 Enrollment ID: I20120213000273 |
| Provider Name | Jennifer E Herrold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578522769 PECOS PAC ID: 0244491959 Enrollment ID: I20120405000225 |
| Provider Name | Epauline Faubert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609202860 PECOS PAC ID: 2062648512 Enrollment ID: I20131112000656 |
| Provider Name | John Chuma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487752523 PECOS PAC ID: 1759518384 Enrollment ID: I20131205001180 |
| Provider Name | Karl Hursey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881636355 PECOS PAC ID: 4789684473 Enrollment ID: I20140127000358 |
| Provider Name | Jill Pentangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720403868 PECOS PAC ID: 7810120565 Enrollment ID: I20140502000806 |
| Provider Name | Karen Bensinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790933893 PECOS PAC ID: 0345473906 Enrollment ID: I20140506000717 |
| Provider Name | Patrick Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326473042 PECOS PAC ID: 9032331764 Enrollment ID: I20141113001886 |
| Provider Name | Amber Renee Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467859249 PECOS PAC ID: 6507180221 Enrollment ID: I20150128000871 |
| Provider Name | Jennifer A Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558486563 PECOS PAC ID: 5890010185 Enrollment ID: I20150209000378 |
| Provider Name | Robert J Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194146118 PECOS PAC ID: 5092020537 Enrollment ID: I20150813009750 |
| Provider Name | Gemma C Kaunert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962697482 PECOS PAC ID: 2163725573 Enrollment ID: I20160119001705 |
| Provider Name | Lisamarie Pietragallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376946319 PECOS PAC ID: 0345564308 Enrollment ID: I20170426000088 |
| Provider Name | Kelsey Ott-sudik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821532904 PECOS PAC ID: 6507133840 Enrollment ID: I20170517001232 |
| Provider Name | Aurea Yadith Cordero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215462411 PECOS PAC ID: 2567749229 Enrollment ID: I20170710001336 |
| Provider Name | Eileen Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245376490 PECOS PAC ID: 0345515847 Enrollment ID: I20171010001410 |
| Provider Name | Jamie Lee Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386161123 PECOS PAC ID: 3678848819 Enrollment ID: I20171013001953 |
| Provider Name | Lisa M Butz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962834135 PECOS PAC ID: 2365662723 Enrollment ID: I20171026003074 |
| Provider Name | Monique Tia Searight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801306014 PECOS PAC ID: 2567721681 Enrollment ID: I20180118001646 |
| Provider Name | Colleen M Rex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104330091 PECOS PAC ID: 0648532135 Enrollment ID: I20180321000985 |
| Provider Name | Emily M Smerilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588914212 PECOS PAC ID: 6608130026 Enrollment ID: I20180510000515 |
| Provider Name | Afanwingong Che Lafon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730565250 PECOS PAC ID: 3476857889 Enrollment ID: I20180613001726 |
| Provider Name | Angela M Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356829220 PECOS PAC ID: 8426307257 Enrollment ID: I20180828000023 |
| Provider Name | Shawn Kelly Pritchett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619441862 PECOS PAC ID: 0648518662 Enrollment ID: I20190215002020 |
| Provider Name | Foday Janneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346712353 PECOS PAC ID: 3971843160 Enrollment ID: I20190326002198 |
| Provider Name | Stephanie Schlesman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124670484 PECOS PAC ID: 8022348143 Enrollment ID: I20191002002215 |
| Provider Name | Leona Nobles-harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285280529 PECOS PAC ID: 5193159861 Enrollment ID: I20200106001640 |
| Provider Name | Russell Earl Bohner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245740356 PECOS PAC ID: 2961837323 Enrollment ID: I20200114001119 |
| Provider Name | Leslie Ann Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992191159 PECOS PAC ID: 2769799428 Enrollment ID: I20200925002281 |
| Provider Name | Katherine Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053925560 PECOS PAC ID: 3173943446 Enrollment ID: I20201027000512 |
| Provider Name | Angela Celentano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770192296 PECOS PAC ID: 9537579107 Enrollment ID: I20201110002700 |
| Provider Name | Bryce Lefever |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205800620 PECOS PAC ID: 6204259625 Enrollment ID: I20210107002202 |
| Provider Name | Tiffani Tatko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215535331 PECOS PAC ID: 4486068939 Enrollment ID: I20210125003036 |
| Provider Name | Nadine Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194367177 PECOS PAC ID: 2163836123 Enrollment ID: I20210202003119 |
| Provider Name | Ana Luisa Perez Perez Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629564307 PECOS PAC ID: 9931516226 Enrollment ID: I20210405000249 |
| Provider Name | Zakiyyah Muhsin Fall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720612914 PECOS PAC ID: 0941619589 Enrollment ID: I20210511001671 |
| Provider Name | Jenna Mercadante |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851721104 PECOS PAC ID: 0840694824 Enrollment ID: I20210812003294 |
| Provider Name | Abby Erica Feinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922413897 PECOS PAC ID: 0042608267 Enrollment ID: I20211020002868 |
| Provider Name | Tiffany Helen Daye-lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831789908 PECOS PAC ID: 5092107532 Enrollment ID: I20220113001573 |
| Provider Name | Kathryn Louise Nevin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407490964 PECOS PAC ID: 1355736687 Enrollment ID: I20220323000084 |
| Provider Name | Kimberly R Hazen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194149062 PECOS PAC ID: 4688060866 Enrollment ID: I20220416000198 |
| Provider Name | Maureen Elizabeth Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952866741 PECOS PAC ID: 7911384771 Enrollment ID: I20220517000114 |
| Provider Name | Lauren Linn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023780681 PECOS PAC ID: 9234527581 Enrollment ID: I20220621000881 |
| Provider Name | Tulsi Majchrzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669110854 PECOS PAC ID: 4880076801 Enrollment ID: I20220808000016 |
| Provider Name | Timothy Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740346253 PECOS PAC ID: 7810218658 Enrollment ID: I20220912002450 |
| Provider Name | Dionne Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902846926 PECOS PAC ID: 5496790602 Enrollment ID: I20221125000458 |
| Provider Name | Michelle Lynne Hajduk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649605106 PECOS PAC ID: 4385096262 Enrollment ID: I20240116003270 |
| Provider Name | Rose D Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124626254 PECOS PAC ID: 5890135727 Enrollment ID: I20240425002826 |
| Provider Name | Cheryl A France |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134144215 PECOS PAC ID: 1557550175 Enrollment ID: I20240425004158 |
Central Pennsylvania Supportive Services, Inc. (cpss) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Linglestown Rd, Suite Se-l, Harrisburg, PA 17110 Phone: 717-901-5099 Fax: 717-901-0388 | |
His Creations Ministries, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 N Progress Ave, Harrisburg, PA 17110 Phone: 717-943-7438 | |
Sleber Associates P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 N 3rd St, Suite 3b, Harrisburg, PA 17110 Phone: 717-238-0885 Fax: 717-236-6633 | |
Its Family Life Services Out Patient Mental Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2135 N 6th St, Harrisburg, PA 17110 Phone: 717-795-0368 Fax: 717-795-0353 | |
Mindful Care Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 N Front St Ste 101a, Harrisburg, PA 17102 Phone: 717-421-3520 | |
Devine Guidance, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4286 Stellata Ct, Harrisburg, PA 17112 Phone: 717-856-8696 | |
Addiction Wellness Center Pa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4755 Linglestown Rd Ste 402b, Harrisburg, PA 17112 Phone: 667-367-8357 |