Mindbodysoulworks, Llc - Medicare Mental Health Clinic in Erie, PA

Mindbodysoulworks, Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Erie, Pennsylvania. The current practice location for Mindbodysoulworks, Llc is 4190 E Lake Rd, Erie, Pennsylvania. For appointments, you can reach them via phone at (814) 616-2858. The mailing address for Mindbodysoulworks, Llc is 4190 E Lake Rd, Erie, Pennsylvania and phone number is (814) 616-2858.

Mindbodysoulworks, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205309531. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (814) 616-2858.

Contact Information

Mindbodysoulworks, Llc
4190 E Lake Rd
Erie
PA 16511-1355
(814) 616-2858
(814) 616-2860

Map and Direction


Mental Health Clinic Profile

Full NameMindbodysoulworks, Llc
SpecialityClinic/Center
Location4190 E Lake Rd, Erie, Pennsylvania
Authorized Official Name and PositionMary Rudolph (THERAPIST/OWNER)
Authorized Official Contact8146162858
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mindbodysoulworks, Llc
4190 E Lake Rd
Erie
PA 16511-1355

Ph: (814) 616-2858
Mindbodysoulworks, Llc
4190 E Lake Rd
Erie
PA 16511-1355

Ph: (814) 616-2858

NPI Details:

NPI Number1205309531
Provider Enumeration Date01/09/2019
Last Update Date01/09/2019

Medicare PECOS Information:

Medicare PECOS PAC ID8426399650
Medicare Enrollment IDO20190416001249

Medical Identifiers

Medical identifiers for Mindbodysoulworks, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205309531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mindbodysoulworks, Llc acts as a billing entity for following providers:
Provider NameMary E Rudolph
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174910855
PECOS PAC ID: 9335480565
Enrollment ID: I20190416001393

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.