| Dr Stephen Lamar Burkholder, MD | |
|
160 Main St, Wernersville, PA 19565-9490 | |
| (610) 678-3411 | |
| Not Available |
| Full Name | Dr Stephen Lamar Burkholder |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 160 Main St, Wernersville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932337078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | P1730 (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD449633 (Pennsylvania) | Primary |
| Entity Name | Pennsylvania Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497739973 PECOS PAC ID: 0547168064 Enrollment ID: O20031222000595 |
| 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 |
| Entity Name | Pennsylvania Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376526111 PECOS PAC ID: 0547168064 Enrollment ID: O20040930000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Lamar Burkholder, MD 160 Main St, Wernersville, PA 19565-9490 Ph: (610) 678-3411 | Dr Stephen Lamar Burkholder, MD 160 Main St, Wernersville, PA 19565-9490 Ph: (610) 678-3411 |
Michael D Lance, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 160 Main St, Wernersville, PA 19565 Phone: 610-678-3411 | |
Mrs. Usha Gopalani, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Rte 422 & Sportsman Road, Wernersville, PA 19565 Phone: 610-670-4100 Fax: 640-670-4101 | |
Emilia Vitolo-gallo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Route 422, Sportsman Road, Building 37, Wernersville, PA 19565 Phone: 610-678-3411 | |
Scott R. Kaneff, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Wernersville State Hospital, Route 422, Sportsman Road, Wernersville, PA 19565 Phone: 610-678-3411 | |
Donna J Davis, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Route 422, Sportsman Road, Building 37, Wernersville, PA 19565 Phone: 610-678-3411 | |
Dr. Sasikala Ravi, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 160 Main Street, Wernersville State Hospital, Post Box # 300, Wernersville, PA 19565 Phone: 610-678-3411 | |
Joseph Garbely, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 243 N. Galen Hall Road, Wernersville, PA 19565 Phone: 610-678-2332 Fax: 484-345-4326 |