Upmc Western Behavioral Health At Safe Harbor - Medicare Mental Health Clinic in Erie, PA

Upmc Western Behavioral Health At Safe Harbor is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Erie, Pennsylvania. The current practice location for Upmc Western Behavioral Health At Safe Harbor is 1330 W 26th St, Erie, Pennsylvania. For appointments, you can reach them via phone at (814) 459-9300. The mailing address for Upmc Western Behavioral Health At Safe Harbor is 1330 W 26th St, Erie, Pennsylvania and phone number is () -.

Upmc Western Behavioral Health At Safe Harbor is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083695985. 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) 459-9300.

Contact Information

Upmc Western Behavioral Health At Safe Harbor
1330 W 26th St
Erie
PA 16508-1402
(814) 459-9300
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameUpmc Western Behavioral Health At Safe Harbor
SpecialityClinic/Center
Location1330 W 26th St, Erie, Pennsylvania
Authorized Official Name and PositionMandy Fauble (DIRECTOR OF CLINICAL CARE SERVICES)
Authorized Official Contact8144512232
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Upmc Western Behavioral Health At Safe Harbor
1330 W 26th St
Erie
PA 16508-1402

Ph: () -
Upmc Western Behavioral Health At Safe Harbor
1330 W 26th St
Erie
PA 16508-1402

Ph: (814) 459-9300

NPI Details:

NPI Number1083695985
Provider Enumeration Date11/08/2005
Last Update Date01/25/2024
Certification Date01/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6305743154
Medicare Enrollment IDO20031218000519

Medical Identifiers

Medical identifiers for Upmc Western Behavioral Health At Safe Harbor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083695985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
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. Upmc Western Behavioral Health At Safe Harbor acts as a billing entity for following providers:
Provider NameMandy A Fauble
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134100258
PECOS PAC ID: 7810948296
Enrollment ID: I20050202000793
Provider NameJohn F Almquist
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568460467
PECOS PAC ID: 6608879929
Enrollment ID: I20060807000039
Provider NameRichard A Sekula
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1861425043
PECOS PAC ID: 2961408083
Enrollment ID: I20061013000020
Provider NameAntonio S Simora
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1538231170
PECOS PAC ID: 8224122395
Enrollment ID: I20070920000027
Provider NameRobert Wilson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336110279
PECOS PAC ID: 9335225366
Enrollment ID: I20080331000371
Provider NameAimee S Voto
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871571067
PECOS PAC ID: 5496833972
Enrollment ID: I20080424000033
Provider NameAmy G Miles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275708612
PECOS PAC ID: 8820162472
Enrollment ID: I20080731000248
Provider NameLisa M May
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1841296134
PECOS PAC ID: 2961567805
Enrollment ID: I20090210000446
Provider NameMary Beth Moreland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396970380
PECOS PAC ID: 4486708849
Enrollment ID: I20090819000532
Provider NameSuzanne Marie Fontecchio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962730507
PECOS PAC ID: 5496884470
Enrollment ID: I20100601000432
Provider NameMichelle Lee Wright
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1013990571
PECOS PAC ID: 3779577705
Enrollment ID: I20100910000670
Provider NameJody B Glance
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871799163
PECOS PAC ID: 9335325836
Enrollment ID: I20110518000327
Provider NameMelinda A Douglas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679845192
PECOS PAC ID: 6002075983
Enrollment ID: I20120313000309
Provider NameDarcey M Locke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467701656
PECOS PAC ID: 9931350592
Enrollment ID: I20121108000489
Provider NameKristina R Semeniken
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679722516
PECOS PAC ID: 4183876394
Enrollment ID: I20121217000409
Provider NameAnn M Griesacker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437442993
PECOS PAC ID: 8628211927
Enrollment ID: I20130906000173
Provider NamePatricia L Ferrick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639320161
PECOS PAC ID: 9234432535
Enrollment ID: I20160120001788
Provider NameGeoffrey Sinner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851517585
PECOS PAC ID: 3476682097
Enrollment ID: I20160812001333
Provider NameJudith A Shaffer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336670785
PECOS PAC ID: 2466708334
Enrollment ID: I20180706001469
Provider NamePamela R Dailey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346779311
PECOS PAC ID: 7517379019
Enrollment ID: I20201207001086
Provider NameLynne A Heath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629675947
PECOS PAC ID: 7012323488
Enrollment ID: I20210309002730
Provider NameEllen Koeppel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710442546
PECOS PAC ID: 6406248491
Enrollment ID: I20220125002030
Provider NameKirsten M Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508512112
PECOS PAC ID: 6305232125
Enrollment ID: I20220404002654
Provider NameElizbieta Szymkow
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962997726
PECOS PAC ID: 6709267305
Enrollment ID: I20220713003005
Provider NameJessica M Revell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093328965
PECOS PAC ID: 3173988771
Enrollment ID: I20230504001344
Provider NameKatie Ganska
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1467062844
PECOS PAC ID: 2961853643
Enrollment ID: I20240106000487
Provider NameHolly Michelle Grey
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093015836
PECOS PAC ID: 6406207620
Enrollment ID: I20240111002619
Provider NameJaclyn Janice Harmon
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1326409376
PECOS PAC ID: 9638521495
Enrollment ID: I20240117001560
Provider NameBenjamin L Riley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1760674550
PECOS PAC ID: 2163874496
Enrollment ID: I20240122004550
Provider NameKari Elizabeth Putnam
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1710663463
PECOS PAC ID: 4789037375
Enrollment ID: I20240131000704
Provider NameJessianne Montie
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1265983225
PECOS PAC ID: 5890138150
Enrollment ID: I20240205000498
Provider NameJennifer Alise Young
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1043452808
PECOS PAC ID: 4688017627
Enrollment ID: I20240207001360
Provider NameTara Marie Drake
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1063931798
PECOS PAC ID: 4385088715
Enrollment ID: I20240214000072
Provider NamePaige Marie Butcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245823350
PECOS PAC ID: 4486098506
Enrollment ID: I20240216002118
Provider NameKelly R Gasiewski
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1629730924
PECOS PAC ID: 8921442914
Enrollment ID: I20240217000702

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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.