| Marlene Fahnestock, | |
|
720 S River Rd Ste B105, St George, UT 84790-5704 | |
| (435) 278-8227 | |
| Not Available |
| Full Name | Marlene Fahnestock |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 720 S River Rd Ste B105, St George, Utah |
| 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 |
|---|---|---|---|
| 1205316536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11655058-6004 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wintch Professional Services Llc | 1355779851 | 6 |
| Entity Name | Wintch Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003450602 PECOS PAC ID: 1355779851 Enrollment ID: O20200316002703 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlene Fahnestock, 720 S River Rd Ste B105, St George, UT 84790-5704 Ph: (860) 608-4690 | Marlene Fahnestock, 720 S River Rd Ste B105, St George, UT 84790-5704 Ph: (435) 278-8227 |
Lukas Hildebrandt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St Ste 7, St George, UT 84770 Phone: 801-255-5131 | |
Jan Hadlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1492 S Silicon Way Ste A, St George, UT 84770 Phone: 435-275-8911 | |
Dustin T Hodgkin, M.S., LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4617 S Pioneer Rd Ste 101g, St George, UT 84790 Phone: 435-359-1473 Fax: 435-359-1473 | |
Andrew J Weibert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Bluff St Ste 5, St George, UT 84770 Phone: 435-229-9177 | |
Jason Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 348 E 600 S, St George, UT 84770 Phone: 435-705-7574 | |
Sarah Cowley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 W 200 N, Suite 300, St George, UT 84770 Phone: 435-634-5621 Fax: 435-986-8700 | |
Kiley Shelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St, Suite 7, St George, UT 84770 Phone: 801-255-5131 Fax: 801-255-5131 |