Edward Bevan, PSY D is a
Psychologist - Cognitive & Behavioral based in Mountainhome, Pennsylvania. Edward Bevan is licensed to practice in Pennsylvania (license number PS017344) and his current practice location is
1056 Route 390, Mountainhome, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 807-6638.
NPI number for Edward Bevan is 1649646142 and his current mailing address is 3287 Spruce Cabin Rd, Cresco, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649646142.
Healthcare Provider's Profile
Full Name | Edward Bevan |
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Gender | Male |
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Speciality | Psychologist - Cognitive & Behavioral |
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Location | 1056 Route 390, Mountainhome, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649646142
- Provider Enumeration Date: 08/19/2015
- Last Update Date: 08/19/2015
Medical Identifiers
Medical identifiers for Edward Bevan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649646142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | PS017344 (Pennsylvania) | Primary |
103TC0700X | Psychologist - Clinical | PS017344 (Pennsylvania) | Secondary |
103TP2701X | Psychologist - Group Psychotherapy | PS017344 (Pennsylvania) | Secondary |
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. Edward Bevan 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 |
Edward Bevan, PSY D 3287 Spruce Cabin Rd, Cresco, PA 18326-7916 Ph: (570) 807-6638 | Edward Bevan, PSY D 1056 Route 390, Mountainhome, PA 18342 Ph: (570) 807-6638 |
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