| Martin L. Serota M.d., Inc. | |
|
129 N Pennsylvania Ave Greensburg PA 15601-2311 | |
| (724) 205-6842 | |
| Not Available |
| Full Name | Martin L. Serota M.d., Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 129 N Pennsylvania Ave, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Asheli Thompson (CONTRACTING CONSULTANT) |
| Authorized Official Contact | 7047562263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin L. Serota M.d., Inc. 129 N Pennsylvania Ave Greensburg PA 15601-2311 Ph: () - | Martin L. Serota M.d., Inc. 129 N Pennsylvania Ave Greensburg PA 15601-2311 Ph: (724) 205-6842 |
| NPI Number | 1538816012 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 7113396763 |
|---|---|
| Medicare Enrollment ID | O20240725001598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538816012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mark R Thelen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568425908 PECOS PAC ID: 6709072952 Enrollment ID: I20101130000534 |
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