Individual provider Active NPI

Bettina Maxine Welz, M.D.

  • Psychiatry Physician
  • Bellefonte, PA
National Provider Identifier
1033201884
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD043916L Issued in PA
Practice address
420 Holmes St
Bellefonte, PA 16823-1401
Phone
(814) 355-6786
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD043916L PA Primary

Addresses

Primary practice location

420 Holmes St
Bellefonte, PA 16823-1401

Mailing address

189 Fenwick Dr
Port Matilda, PA 16870-7533
Phone (814) 353-1095

Other identifiers 1

IdentifierTypeStateIssuer
0016304730002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109000583 PA Practitioner - PsychiatryPractitioner - Internal Medicine 7113112707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

138 Fischer Rd
University Park, PA 16802-4604
Phone (814) 865-2191

337 Moore Building
The Pennsylvania State University
University Park, PA 16802-9976

743 A Hastings Rd
University Park, PA 16802-4529
Phone (814) 865-5414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Pennsylvania State University CurrentSince Oct 12, 2011 Accepting new patients
The Pennsylvania State University Psychiatry CurrentSince Oct 12, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033201884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 FENWICK DR",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707533",
            "telephone_number": "814-353-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HOLMES ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231401",
            "telephone_number": "814-355-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELZ",
        "first_name": "BETTINA",
        "middle_name": "MAXINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD043916L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016304730002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

Verify at the official NPI Registry.