| Tracey Shontz, BS, MS | |
|
1765 Goucher St Ste 150, Johnstown, PA 15905-1101 | |
| (814) 283-5750 | |
| Not Available |
| Full Name | Tracey Shontz |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1765 Goucher St Ste 150, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811619885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC016760 (Pennsylvania) | Primary |
| Entity Name | Bedford Somerset Developmental And Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881818672 PECOS PAC ID: 6800834912 Enrollment ID: O20050420000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Shontz, BS, MS 1765 Goucher St Ste 150, Johnstown, PA 15905-1101 Ph: (814) 283-5750 | Tracey Shontz, BS, MS 1765 Goucher St Ste 150, Johnstown, PA 15905-1101 Ph: (814) 283-5750 |
Corey Larue, Counselor Medicare: Medicare Enrolled Practice Location: 119 Walnut St, Johnstown, PA 15901 Phone: 814-534-0745 | |
William Martin O'herrick, BSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-535-2277 | |
Christine Mary Charney, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-534-0745 Fax: 814-536-5431 | |
Tammy Zeek, Counselor Medicare: Medicare Enrolled Practice Location: 119 Walnut St, Johnstown, PA 15901 Phone: 814-534-0745 | |
Zita Burnheimer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 188 Gilbert St, Johnstown, PA 15906 Phone: 814-539-7339 Fax: 814-535-2219 | |
Jennifer Theresa Stevens, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-535-2277 Fax: 814-539-0475 | |
Kierra Pratt, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 188 Gilbert St, Johnstown, PA 15906 Phone: 814-539-7339 |