| Neha Pancholy, | |
|
132 Manly Rd, Tafton, PA 18464-7829 | |
| (570) 226-2151 | |
| (570) 226-1861 |
| Full Name | Neha Pancholy |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 132 Manly Rd, Tafton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346772985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD477664 (Pennsylvania) | Primary |
| Entity Name | Wayne Memorial Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Neha Pancholy, 500 University Dr, Hershey, PA 17033-2360 Ph: (800) 243-1455 | Neha Pancholy, 132 Manly Rd, Tafton, PA 18464-7829 Ph: (570) 226-2151 |
Dr. Michael Theodore Peterson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 Manly Rd, Tafton, PA 18464 Phone: 570-226-2151 Fax: 570-226-1861 | |
Dr. Charles David Aronica, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 Manly Rd, Tafton, PA 18464 Phone: 570-226-2151 Fax: 570-226-1861 | |
Kevin Le, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 Manly Rd, Tafton, PA 18464 Phone: 570-226-2151 Fax: 570-226-1861 |