Look up the most recent NPI and PECOS records

Douglas C Achtert

Social Worker

Behavioral Health & Social Service Providers

1055 E Baltimore Pike Ste 303, Media, PA 19063-5173

PECOS Enrollment

This provider is enrolled in PECOS as DOUGLAS ACHTERT.

Based on the most recent information from CMS, provider Douglas C Achtert is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1710248091
Provider Type
Individual
Full Name
Achtert, Douglas C
Title
Mr.
Credential
MSS, LSW

Gender
Male
Sole Proprietor
No
Enumeration Date
6/4/2012
Last Updated
11/2/2024

Contact Information

Practice Location

1055 E Baltimore Pike Ste 303, Media, PA 19063-5173

(610) 892-3800

Unlisted Fax

Mailing Location

2603 Cecil B Moore Ave, Philadelphia, PA 19121-2826

(215) 769-7045

(215) 769-7046

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW017941 Pennsylvania
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License SW128747 Pennsylvania
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License CW017941 Pennsylvania

Douglas C Achtert

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Fahnoe, Erin Costello

Ennis, Audrey J.

Kessler, Alyson

White, Margaret Mary

Schweitzer, Kelli Semion

Gill, Stacey Marie

Eddy, Melanie Marie

Kaplan Kramer, Ruth P

Boyer, Laura Ann

Michael Montie Lcsw Llc