MICHAEL BERTOLINO
NPI 1861006058
Counselor - Professional in Ephrata, PA

Active since September 03, 2020PECOS EnrolledAccepts Medicare Assignment
1170 S STATE ST, EPHRATA, PA 17522(717) 859-8000 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Bertolino NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL BERTOLINO (NPI 1861006058) is an individual professional provider in Ephrata, Pennsylvania, licensed in Pennsylvania (PC011866) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861006058
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL BERTOLINO
Location Address1170 S STATE STEphrata, PA 17522-2601
Mailing Address1170 S State StEphrata, PA 17522-2601 · (717) 859-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 3, 2020
Last NPPES UpdateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
NPI 1861006058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC011866
1170 S STATE ST, Ephrata, PA 17522

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Bertolino is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204279466
PECOS Enrollment IDI20240205004230
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1170 S STATE ST
EPHRATA, PA 17522
Counselor (Professional)
1170 S STATE ST
EPHRATA, PA 17522
Counselor (Addiction (Substance Use Disorder))
1170 S STATE ST
EPHRATA, PA 17522
Substance Abuse Rehabilitation Facility
1170 S STATE ST
EPHRATA, PA 17522
Psychologist (Clinical)
1170 S STATE ST
EPHRATA, PA 17522
Counselor (Professional)
1170 S STATE ST
EPHRATA, PA 17522
Substance Abuse Rehabilitation Facility
1170 S STATE ST
EPHRATA, PA 17522
Counselor (Addiction (Substance Use Disorder))
1170 S STATE ST
EPHRATA, PA 17522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Bertolino's NPI number?

The NPI number for Michael Bertolino is 1861006058. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Michael Bertolino located?

Michael Bertolino practices at 1170 S State St, Ephrata, PA 17522. The listed phone number is (717) 859-8000.

What is Michael Bertolino's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michael Bertolino enrolled in Medicare?

Yes. Michael Bertolino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Bertolino was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.