| Tyler O Benelli, LCSW | |
|
114 East Ave, Wellsboro, PA 16901-1737 | |
| (570) 723-0620 | |
| (570) 724-0675 |
| Full Name | Tyler O Benelli |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 114 East Ave, Wellsboro, 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 |
|---|---|---|---|
| 1144510280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Penn Comprehensive Health Services | 0446245880 | 42 |
| Entity Name | North Penn Comprehensive Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912093576 PECOS PAC ID: 0446245880 Enrollment ID: O20040416000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler O Benelli, LCSW 40 W Wellsboro St, Mansfield, PA 16933-1411 Ph: (570) 662-1982 | Tyler O Benelli, LCSW 114 East Ave, Wellsboro, PA 16901-1737 Ph: (570) 723-0620 |
William Douglas Chancellor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 West Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675 | |
Alyssa Hoffman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 114 East Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675 | |
Susan Groover-van Pelt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 | |
Richard Hayford, MS, BSL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 | |
Mrs. Lori A Makos, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 114 East Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675 | |
Erika Peterson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 |