| Robert Ealey, | |
| 3701 Corriere Rd Ste 14, Palmer Township, PA 18045-7991 | |
| (484) 591-7010 | |
| Not Available | 
| Full Name | Robert Ealey | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3701 Corriere Rd Ste 14, Palmer Township, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205619152 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP028543 (Pennsylvania) | Primary | 
| Entity Name | Family Care Centers Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 | 
| Entity Name | Lehigh Valley Physician Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 | 
| Entity Name | Schuylkill Health System Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robert Ealey, 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Robert Ealey, 3701 Corriere Rd Ste 14, Palmer Township, PA 18045-7991 Ph: (484) 591-7010 | 
| Mrs. Amy Strain, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Corriere Rd Ste 10, Palmer Township, PA 18045 Phone: 484-591-7060 Fax: 484-591-7061 |