| Adult Geriatric Osteopathic Medical Care, Llc | |
|
2610 Century Ave Bristol PA 19007-1710 | |
| (215) 584-0815 | |
| Not Available |
| Full Name | Adult Geriatric Osteopathic Medical Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2610 Century Ave, Bristol, Pennsylvania |
| Authorized Official Name and Position | Amanda Trexler (BILLING MANAGER) |
| Authorized Official Contact | 2673002407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Geriatric Osteopathic Medical Care, Llc 2610 Century Ave Bristol PA 19007-1710 Ph: () - | Adult Geriatric Osteopathic Medical Care, Llc 2610 Century Ave Bristol PA 19007-1710 Ph: (215) 584-0815 |
| NPI Number | 1518654474 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 4385003847 |
|---|---|
| Medicare Enrollment ID | O20230701000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518654474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | David Everett Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609218759 PECOS PAC ID: 9335427525 Enrollment ID: I20171218000244 |
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