Wyoming Valley Childrens Association - Medicare in Forty Fort, PA

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Wyoming Valley Childrens Association is a medicare enrolled "Behavior Analyst" provider in Forty Fort, Pennsylvania. Their current practice location is 1133 Wyoming Ave, Forty Fort, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at (570) 714-1246.

Wyoming Valley Childrens Association is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Wyoming Valley Childrens Association is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639213473.

Contact Information

Wyoming Valley Childrens Association
1133 Wyoming Ave,
Forty Fort, PA 18704-4003
(570) 714-1246
(570) 714-1249

Map and Direction




Healthcare Provider's Profile

Full NameWyoming Valley Childrens Association
TypeFacility
SpecialityBehavior Analyst
Location1133 Wyoming Ave, Forty Fort, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639213473
  • Provider Enumeration Date: 02/16/2007
  • Last Update Date: 09/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6305369323
  • Enrollment ID: O20250401000507

Medical Identifiers

Medical identifiers for Wyoming Valley Childrens Association such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639213473NPI-NPPES
1000034800004MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
251300000XLocal Education Agency (lea) (* (Not Available))Secondary
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
103TC2200XPsychologist - Clinical Child & Adolescent (* (Not Available))Secondary
103K00000XBehavior Analyst (* (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. Wyoming Valley Childrens Association acts as a billing entity for following providers:
Provider NameLeah M Tibus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811312903
PECOS PAC ID: 2365733904
Enrollment ID: I20160629000293
Provider NameMichael Kelley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1053492397
PECOS PAC ID: 9638525124
Enrollment ID: I20250307001852
Provider NameElisabeth Kapolka
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1184127227
PECOS PAC ID: 6608392741
Enrollment ID: I20250501000533
Provider NameJane Zak
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1477001402
PECOS PAC ID: 6204352289
Enrollment ID: I20250502001283
Provider NameJessica Hartz
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1639508674
PECOS PAC ID: 8426575424
Enrollment ID: I20250502001991
Provider NameShari R Aude
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184765919
PECOS PAC ID: 2961929997
Enrollment ID: I20250502003164
Provider NameJessica Marie Zielecki
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114406394
PECOS PAC ID: 6204353105
Enrollment ID: I20250505001861
Provider NameErin Nicole Holby
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1619620184
PECOS PAC ID: 4587181441
Enrollment ID: I20250505003091
Provider NameMegan Elizabeth Florio
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1528897535
PECOS PAC ID: 1456878271
Enrollment ID: I20250506000997
Provider NameIrene U Ziegler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285775015
PECOS PAC ID: 1052839727
Enrollment ID: I20250516000342

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. Wyoming Valley Childrens Association is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wyoming Valley Childrens Association
1133 Wyoming Ave,
Forty Fort, PA 18704-4003

Ph: (570) 714-1246		Wyoming Valley Childrens Association
1133 Wyoming Ave,
Forty Fort, PA 18704-4003

Ph: (570) 714-1246

Reviews and Comments



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.