Miss Bethany Suzanne Genevro, MSCCCSLP is a
Speech-language Pathologist based in Laporte, Pennsylvania. Miss Bethany Suzanne Genevro is licensed to practice in Pennsylvania (license number SL011871) and her current practice location is
918 Main Street, Laporte, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 946-7700.
NPI number for Miss Bethany Suzanne Genevro is 1205247319 and her current mailing address is 918 Main Street, Po Box 10, Laporte, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205247319.
Healthcare Provider's Profile
Full Name | Miss Bethany Suzanne Genevro |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 918 Main Street, Laporte, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205247319
- Provider Enumeration Date: 05/12/2014
- Last Update Date: 05/12/2014
Medical Identifiers
Medical identifiers for Miss Bethany Suzanne Genevro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205247319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SL011871 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Bethany Suzanne Genevro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Bethany Suzanne Genevro, MSCCCSLP 918 Main Street, Po Box 10, Laporte, PA 18626 Ph: (570) 946-7700 | Miss Bethany Suzanne Genevro, MSCCCSLP 918 Main Street, Laporte, PA 18626 Ph: (570) 946-7700 |
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