| Dr John E Pugh, PHD | |
|
491 Peach Rd, Ephrata, PA 17522 | |
| (717) 606-7652 | |
| (717) 336-4014 |
| Full Name | Dr John E Pugh |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 491 Peach Rd, Ephrata, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801965983 | NPI | - | NPPES |
| 383875 | Other | PA | VALUE OPTIONS |
| 0018870100002 | Medicaid | PA | |
| 1548470 | Other | PA | GATEWAY MEDICARE ASSURED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS-006830L (Pennsylvania) | Primary |
| Entity Name | New Life Psychological Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093053761 PECOS PAC ID: 6103111943 Enrollment ID: O20160818001342 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John E Pugh, PHD 1025 S Cocalico Rd, Denver, PA 17517-9545 Ph: (717) 606-7652 | Dr John E Pugh, PHD 491 Peach Rd, Ephrata, PA 17522 Ph: (717) 606-7652 |
Andrew Bowen, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 344 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 | |
Gillian Grannum, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 344 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 Fax: 717-738-0606 | |
Mrs. Lydia B Hackenberg, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 344 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 | |
Dr. Aimee E Todd, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 446 N Reading Rd, Suite 204, Ephrata, PA 17522 Phone: 717-466-6565 | |
Dr. Scott T Heller, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 607 Glenwood Dr, Ephrata, PA 17522 Phone: 717-271-1167 | |
Dr. Nicholas V Martino Jr., PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 344 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 |