Dr Georgianna M Achilles, PHD is a
Psychologist - Clinical Child & Adolescent based in Port Matilda, Pennsylvania. Dr Georgianna M Achilles is licensed to practice in Virginia (license number 0810003856) and her current practice location is
454 Rolling Ridge Dr., Port Matilda, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 235-1100.
NPI number for Dr Georgianna M Achilles is 1548444268 and her current mailing address is 120 Blueberry Hill Ln, Port Matilda, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548444268.
Healthcare Provider's Profile
| Full Name | Dr Georgianna M Achilles |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 454 Rolling Ridge Dr., Port Matilda, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548444268
- Provider Enumeration Date: 12/18/2007
- Last Update Date: 04/13/2010
Medical Identifiers
Medical identifiers for Dr Georgianna M Achilles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548444268 | NPI | - | NPPES |
| 1024294500001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 0810003856 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810003856 (Virginia) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 0810003856 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Georgianna M Achilles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Georgianna M Achilles, PHD
120 Blueberry Hill Ln,
Port Matilda, PA 16870-7035
Ph: (814) 238-8092 | Dr Georgianna M Achilles, PHD
454 Rolling Ridge Dr.,
Port Matilda, PA 16870
Ph: (814) 235-1100 |
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