Penn Highlands Elk Physician Svcs - Medicare Mental Health Clinic in Emporium, PA

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Penn Highlands Elk Physician Svcs is a medicare enrolled mental health clinic (Clinic/center - Multi-specialty) in Emporium, Pennsylvania. The current practice location for Penn Highlands Elk Physician Svcs is 416 N Broad St, Emporium, Pennsylvania. For appointments, you can reach them via phone at (814) 788-8000. The mailing address for Penn Highlands Elk Physician Svcs is 763 Johnsonburg Rd, Saint Marys, Pennsylvania and phone number is (814) 375-4200.

Penn Highlands Elk Physician Svcs is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1952554602. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (814) 788-8000.

Contact Information

Penn Highlands Elk Physician Svcs
416 N Broad St
Emporium
PA 15834-1402
(814) 788-8000
Not Available

Map and Direction


Mental Health Clinic Profile

Full NamePenn Highlands Elk Physician Svcs
SpecialityClinic/Center
Location416 N Broad St, Emporium, Pennsylvania
Authorized Official Name and PositionBradley J Chapman (PRESIDENT/AUTHORIZED OFFICIAL)
Authorized Official Contact8147888550
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Penn Highlands Elk Physician Svcs
763 Johnsonburg Rd
Saint Marys
PA 15857-3417

Ph: (814) 375-4200		Penn Highlands Elk Physician Svcs
416 N Broad St
Emporium
PA 15834-1402

Ph: (814) 788-8000

NPI Details:

NPI Number1952554602
Provider Enumeration Date10/28/2008
Last Update Date10/14/2020
Certification Date10/14/2020

Medicare PECOS Information:

Medicare PECOS PAC ID7517870512
Medicare Enrollment IDO20081222000252

Medical Identifiers

Medical identifiers for Penn Highlands Elk Physician Svcs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952554602NPI-NPPES
139645OtherPAPTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207QA0401XFamily Medicine - Addiction Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Penn Highlands Elk Physician Svcs acts as a billing entity for following providers:
Provider NamePeter Coffman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174559439
PECOS PAC ID: 5597654244
Enrollment ID: I20040311001190
Provider NameWilliam F Wittman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801853064
PECOS PAC ID: 3476516089
Enrollment ID: I20041104001052
Provider NameJames J Brem
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710902069
PECOS PAC ID: 7416908876
Enrollment ID: I20050203000228
Provider NameReynaldo Puesan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376572586
PECOS PAC ID: 9335183052
Enrollment ID: I20050614000771
Provider NameMichael M Hall
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1780688366
PECOS PAC ID: 0042392862
Enrollment ID: I20080131000410
Provider NameRobert J Schmidt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780688481
PECOS PAC ID: 7113821463
Enrollment ID: I20080131000415
Provider NameKarrie L Kiskaddon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255549796
PECOS PAC ID: 4284700147
Enrollment ID: I20080829000445
Provider NameGeorge D Castellano
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497758288
PECOS PAC ID: 4789655994
Enrollment ID: I20100504000528
Provider NameScott R Turkin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972531333
PECOS PAC ID: 0042335804
Enrollment ID: I20100916000730
Provider NameEdgar B Gantalao
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1649200411
PECOS PAC ID: 9638361355
Enrollment ID: I20101012001333
Provider NamePaul F Ignatius
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558523571
PECOS PAC ID: 0648463877
Enrollment ID: I20101020001284
Provider NameThomas Murray Baker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093756207
PECOS PAC ID: 5890694012
Enrollment ID: I20101124000746
Provider NameAmy M Kelly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578797668
PECOS PAC ID: 2769646058
Enrollment ID: I20120618000562
Provider NameChristopher Paul Varacallo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821389768
PECOS PAC ID: 5991935348
Enrollment ID: I20151001000082
Provider NameJulia V Garcia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982805396
PECOS PAC ID: 9133266430
Enrollment ID: I20151228001553
Provider NameRobin Hammersley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225487895
PECOS PAC ID: 7416236658
Enrollment ID: I20161111000086
Provider NameNicole L Villella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437693868
PECOS PAC ID: 3173805181
Enrollment ID: I20170127001749
Provider NameDavid Edwin Olson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902867609
PECOS PAC ID: 6901086909
Enrollment ID: I20190306001841
Provider NameBenjamen C Gangewere
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427444710
PECOS PAC ID: 0749568129
Enrollment ID: I20190826000147
Provider NamePriya Mahajan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700227501
PECOS PAC ID: 2860622388
Enrollment ID: I20200108001217
Provider NameJulie Yenzi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497363733
PECOS PAC ID: 6800206293
Enrollment ID: I20201116000201
Provider NameAllen B Dsouza
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174907778
PECOS PAC ID: 8628312485
Enrollment ID: I20210223001139
Provider NameZoe Danielle Hawkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194217232
PECOS PAC ID: 1456754670
Enrollment ID: I20210726003791
Provider NameRebecca A Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376256255
PECOS PAC ID: 3375908106
Enrollment ID: I20230502000032

Reviews and Comments

Clinic/Center in Emporium, PA


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.