| Mark Pemberton, | |
|
1925 Hayes Ave, Sandusky, OH 44870-4737 | |
| (419) 557-5177 | |
| Not Available |
| Full Name | Mark Pemberton |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 1925 Hayes Ave, Sandusky, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396103057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 131151 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | C 09000641 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Behavioral Health Services, Incorporated | 5092713529 | 6 |
| Entity Name | Allied Behavioral Health Services, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902984248 PECOS PAC ID: 5092713529 Enrollment ID: O20061117000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Pemberton, 500 Stone Valley Dr, Amherst, OH 44001-2590 Ph: () - | Mark Pemberton, 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5177 |
Gavin Lee Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 | |
Dr. Jacqueline S. Hamler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 E Perkins Ave Ste 201, Sandusky, OH 44870 Phone: 419-609-0285 Fax: 419-609-0286 | |
Kimberly Mary Dunphy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Melissa Allton-cameron, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Penny Starr Morgan, PCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Ellen Tracy Miles, P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Ms. Charlene Jeanette Adams, LICDCCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1518 Pearl Street, Sandusky, OH 44870 Phone: 419-515-0663 |