| Mr Mark Walthofer, MASTER OF SOCIAL WOR | |
|
510 N Park Rd, Wyomissing, PA 19610-2941 | |
| (610) 507-2657 | |
| (610) 507-2657 |
| Full Name | Mr Mark Walthofer |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 40 Years |
| Location | 510 N Park Rd, Wyomissing, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609993732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW013521 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ramesh B Eluri Md Pc | 1254437056 | 5 |
| Sri Psychological Services Pc | 1456331214 | 31 |
| Mindy Staum Lcsw Pa | 5890952998 | 14 |
| Entity Name | Sri Psychological Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730259904 PECOS PAC ID: 1456331214 Enrollment ID: O20040722000333 |
| Entity Name | Ramesh B Eluri Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871610956 PECOS PAC ID: 1254437056 Enrollment ID: O20070510000162 |
| Entity Name | Mindy Staum Lcsw Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083922561 PECOS PAC ID: 5890952998 Enrollment ID: O20170127000738 |
| Entity Name | Hearthfire Psychology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194371765 PECOS PAC ID: 5698187565 Enrollment ID: O20201217001319 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Walthofer, MASTER OF SOCIAL WOR 510 N Park Rd, Wyomissing, PA 19610-2941 Ph: (610) 507-2657 | Mr Mark Walthofer, MASTER OF SOCIAL WOR 510 N Park Rd, Wyomissing, PA 19610-2941 Ph: (610) 507-2657 |
Beth Aileen Baxter, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2201 Ridgewood Rd, Wyomissing, Wyomissing, PA 19610 Phone: 610-378-9601 Fax: 610-378-3610 | |
Kathryn Tylka, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 833 N Park Rd Ste 101, Wyomissing, PA 19610 Phone: 610-396-5094 | |
Ms. Jenny E Kemps, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Park Plz, Wyomissing, PA 19610 Phone: 610-376-0901 Fax: 610-966-6767 | |
Julie Gabriel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1115 Thrush Rd, Wyomissing, PA 19610 Phone: 610-987-0049 | |
Victor Alfonso Cabral, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1105 Berkshire Blvd Ofc 110, Wyomissing, PA 19610 Phone: 610-374-4963 | |
Ms. Marie Cornelia Ryan, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 716 N Park Rd, Wyomissing, PA 19610 Phone: 610-375-0544 | |
Miss April Louise Faust, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 716 N Park Rd, Wyomissing, PA 19610 Phone: 610-375-0544 |