Cacapon Center For Growth, Pllc - Medicare Mental Health Clinic in Berkeley Spring, WV

Cacapon Center For Growth, Pllc is a medicare enrolled mental health clinic (Community/behavioral Health) in Berkeley Spring, West Virginia. The current practice location for Cacapon Center For Growth, Pllc is 144 Grove Heights Road, Berkeley Spring, West Virginia. For appointments, you can reach them via phone at (304) 500-8133. The mailing address for Cacapon Center For Growth, Pllc is 1855 Valley Rd # 368, Berkeley Springs, West Virginia and phone number is (304) 702-4426.

Cacapon Center For Growth, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003420522. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 500-8133.

Contact Information

Cacapon Center For Growth, Pllc
144 Grove Heights Road
Berkeley Spring
WV 25411-4816
(304) 500-8133
Not Available

Mental Health Clinic Profile

Full NameCacapon Center For Growth, Pllc
SpecialityCommunity/Behavioral Health
Location144 Grove Heights Road, Berkeley Spring, West Virginia
Authorized Official Name and PositionRyan Matthew Moon (OWNER/MANAGER)
Authorized Official Contact3047024426
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cacapon Center For Growth, Pllc
1855 Valley Rd # 368
Berkeley Springs
WV 25411-4816

Ph: (304) 702-4426
Cacapon Center For Growth, Pllc
144 Grove Heights Road
Berkeley Spring
WV 25411-4816

Ph: (304) 500-8133

NPI Details:

NPI Number1003420522
Provider Enumeration Date09/02/2020
Last Update Date09/02/2020
Certification Date08/26/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8325450737
Medicare Enrollment IDO20201209000164

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Medical Identifiers

Medical identifiers for Cacapon Center For Growth, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003420522NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (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. Cacapon Center For Growth, Pllc acts as a billing entity for following providers:
Provider NameRyan M Moon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861034910
PECOS PAC ID: 6204260342
Enrollment ID: I20201209000376

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Community/Behavioral Health in Berkeley Spring, WV


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