| Sandra Coates, | |
|
935 E Chocolate Ave, Hershey, PA 17033-1216 | |
| (717) 462-7003 | |
| Not Available |
| Full Name | Sandra Coates |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 935 E Chocolate Ave, Hershey, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225661721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC015377 (Pennsylvania) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Coates, 935 E Chocolate Ave, Hershey, PA 17033-1216 Ph: (717) 462-7003 | Sandra Coates, 935 E Chocolate Ave, Hershey, PA 17033-1216 Ph: (717) 462-7003 |
Isaac Covert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 E Chocolate Ave, Hershey, PA 17033 Phone: 717-665-2675 | |
Terri L Breon, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22b Northeast Dr, Hershey, PA 17033 Phone: 717-531-6067 Fax: 717-531-6250 | |
Leslie Carol Lescallette-button, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1335 E Chocolate Ave, Hershey, PA 17033 Phone: 717-606-2727 | |
Cara Bonfanti Shaffer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1512 E Caracas Ave, Hershey, PA 17033 Phone: 717-686-9747 | |
Kendra Kwiatkowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 475 W Governor Rd, Hershey, PA 17033 Phone: 717-204-4310 | |
Erika Roberson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Sarena Ln, Hershey, PA 17033 Phone: 717-203-6144 | |
Veronica Mia Jusino, LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Northeast Dr, Hershey, PA 17033 Phone: 717-531-8338 Fax: 717-531-6250 |