Dr Wingrove Theophilus Jarvis, MD | |
1020 Thompson St, Jersey Shore, PA 17740-1729 | |
(570) 398-1991 | |
Not Available |
Full Name | Dr Wingrove Theophilus Jarvis |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1020 Thompson St, Jersey Shore, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780725051 | NPI | - | NPPES |
7100104100 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | 41982 (Kentucky) | Secondary |
207X00000X | Orthopaedic Surgery | MD448347 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Upmc Kane |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861478307 PECOS PAC ID: 7113814625 Enrollment ID: O20060811000340 |
Entity Name | Geisinger Jersey Shore Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1366407587 PECOS PAC ID: 7517954209 Enrollment ID: O20061104000518 |
Entity Name | Geisinger-hm Joint Venture Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
Mailing Address | Practice Location Address |
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Dr Wingrove Theophilus Jarvis, MD 100 N Academy Ave # Mc4903, Danville, PA 17822-9800 Ph: (570) 271-6144 | Dr Wingrove Theophilus Jarvis, MD 1020 Thompson St, Jersey Shore, PA 17740-1729 Ph: (570) 398-1991 |
Thomas Carroll Connolly, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-1991 Fax: 570-398-4607 |