| Mr Edward Lee Patrick, PA-C | |
|
206 E Brown St, E Stroudsburg, PA 18301-3006 | |
| (570) 421-4000 | |
| Not Available |
| Full Name | Mr Edward Lee Patrick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 206 E Brown St, E Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285822288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 016635 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA053183 (Pennsylvania) | Primary |
| Entity Name | Nes Medical Services of New York PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215455191 PECOS PAC ID: 0840181392 Enrollment ID: O20040323001392 |
| Entity Name | Emergency Physician Services of New York, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
| Entity Name | Physicians Medical Associates New York PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073386421 PECOS PAC ID: 7618310368 Enrollment ID: O20240209000066 |
| Entity Name | New York Medical Physician Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578316501 PECOS PAC ID: 6709226350 Enrollment ID: O20240430000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Lee Patrick, PA-C 244 Barry's Road, White Haven, PA 18661 Ph: (570) 443-7959 | Mr Edward Lee Patrick, PA-C 206 E Brown St, E Stroudsburg, PA 18301-3006 Ph: (570) 421-4000 |
Rosemarie Bigus, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 175 E Brown St, Suite 108, E Stroudsburg, PA 18301 Phone: 570-421-3401 Fax: 570-421-0541 |