Mrs Kimberly A Portanova, in Clarks Summit, PA

Mrs Kimberly A Portanova, is a medicare enrolled "Counselor - Mental Health" provider in Clarks Summit, Pennsylvania. Her current practice location is 104 Grandview St, Clarks Summit, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 878-8636.

Mrs Kimberly A Portanova is licensed to practice in Pennsylvania (license number PC008071) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326474610.

Contact Information

	Mrs Kimberly A Portanova,
	104 Grandview St, Clarks Summit, PA 18411-2010
	(570) 878-8636
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly A Portanova
Gender	Female
Speciality	Counselor - Mental Health
Location	104 Grandview St, Clarks Summit, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326474610
Provider Enumeration Date: 09/19/2013
Last Update Date: 02/24/2025

Medicare PECOS Information:

PECOS PAC ID: 9638693468
Enrollment ID: I20250414001373

Medical Identifiers

Medical identifiers for Mrs Kimberly A Portanova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326474610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PC008071 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kimberly A Portanova allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240809003142

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly A Portanova is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kimberly A Portanova, 104 Grandview St, Clarks Summit, PA 18411-2010 Ph: (570) 878-8636	Mrs Kimberly A Portanova, 104 Grandview St, Clarks Summit, PA 18411-2010 Ph: (570) 878-8636

Reviews and Comments

Counselor in Clarks Summit, PA

Eugena Patackas, MS LBS LPC NCC Counselor Medicare: Medicare Enrolled Practice Location: 106 Colburn Ave, Clarks Summit, PA 18411 Phone: 570-687-7495
Sara Hegarty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 W Grove St Ste 1k, Clarks Summit, PA 18411 Phone: 570-736-1800
Susan D Levin, MA, LPC, NCC, CCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 S State St Ste 5, Clarks Summit, PA 18411 Phone: 570-507-7714
Jessica Lynn Plonsky, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 S State St, Clarks Summit, PA 18411 Phone: 570-335-1056
Brooke Mikesell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Oakford Cir, Clarks Summit, PA 18411 Phone: 570-575-7856
Mrs. Tara Marie Watkins, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Northern Blvd Ste A, Clarks Summit, PA 18411 Phone: 570-766-9970
Amanda Nicole Marra, LPC Counselor Medicare: Medicare Enrolled Practice Location: 406 N State St, Clarks Summit, PA 18411 Phone: 570-316-6326

Mrs Kimberly A Portanova, - Medicare Counselor in Clarks Summit, PA