Well-nurtured Development is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Kingston, Pennsylvania. Their current practice location is
777 Wyoming Ave, Kingston, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(570) 336-0309.
Well-nurtured Development is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Well-nurtured Development
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1952994659.
Healthcare Provider's Profile
| Full Name | Well-nurtured Development |
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| Type | Facility |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 777 Wyoming Ave, Kingston, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952994659
- Provider Enumeration Date: 02/15/2021
- Last Update Date: 07/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 8628479839
- Enrollment ID: O20210625000633
Medical Identifiers
Medical identifiers for Well-nurtured Development such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952994659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225XF0002X | Occupational Therapist - Feeding, Eating & Swallowing | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Well-nurtured Development acts as a billing entity for following providers:
| Provider Name | Megan Oswald |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1659706596
PECOS PAC ID: 6608003926
Enrollment ID: I20131212000857 |
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| Provider Name | Mary E Vanesko |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1467702126
PECOS PAC ID: 3375959224
Enrollment ID: I20210302000037 |
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| Provider Name | Amy Lynn Balent |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1487979605
PECOS PAC ID: 5991198913
Enrollment ID: I20220215000446 |
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| Provider Name | Allison Elizabeth Stallard |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1457070773
PECOS PAC ID: 7911382445
Enrollment ID: I20220919002703 |
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| Provider Name | Rachel Elizabeth Eckert |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1982328852
PECOS PAC ID: 8022485812
Enrollment ID: I20221108001783 |
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| Provider Name | Laura L Kuzio |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1568614774
PECOS PAC ID: 2769847706
Enrollment ID: I20230427000425 |
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| Provider Name | Lydia M Lawson |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1427753847
PECOS PAC ID: 9032575303
Enrollment ID: I20230512000384 |
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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. Well-nurtured Development 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 |
|---|
Well-nurtured Development
777 Wyoming Ave,
Kingston, PA 18704-3863
Ph: (570) 336-0309 | Well-nurtured Development
777 Wyoming Ave,
Kingston, PA 18704-3863
Ph: (570) 336-0309 |
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