| Michael Bertolino, | |
|
1170 S State St, Ephrata, PA 17522-2601 | |
| (717) 859-8000 | |
| Not Available |
| Full Name | Michael Bertolino |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 1170 S State St, Ephrata, 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 |
|---|---|---|---|
| 1861006058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC011866 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Services Group Inc | 1052201571 | 31 |
| Entity Name | Community Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265426084 PECOS PAC ID: 1052201571 Enrollment ID: O20040318000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bertolino, 1170 S State St, Ephrata, PA 17522-2601 Ph: (717) 859-8000 | Michael Bertolino, 1170 S State St, Ephrata, PA 17522-2601 Ph: (717) 859-8000 |
Ms. Bernadette Cafoncelli, BA, CDAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 E Locust St, Ephrata, PA 17522 Phone: 717-733-8898 | |
Lindsey Kathryn Richards, MA, LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1170 S State St, Ephrata, PA 17522 Phone: 717-859-8000 | |
Mrs. Kelly Gearty, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 E Locust St, Ephrata, PA 17522 Phone: 717-394-5334 Fax: 717-733-2414 | |
Chloe Rashelle Tarson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 | |
Kylee Ann Metz, MS, CAADC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1170 S State St, Ephrata, PA 17522 Phone: 717-859-8000 | |
Dr. Timothy G Calvin, PSYD, CAADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1170 S State St, Ephrata, PA 17522 Phone: 717-859-8000 | |
Terence A Carson, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 S State St, Ephrata, PA 17522 Phone: 717-740-6910 Fax: 717-740-6911 |