| Berks Diabetes Management | |
|
1030 Reed Ave Suite 116 Wyomissing PA 19610-2039 | |
| (610) 373-7743 | |
| (610) 378-9337 |
| Full Name | Berks Diabetes Management |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1030 Reed Ave, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Ralph Michael Cincinnati (NURSE PRACTITIONER) |
| Authorized Official Contact | 6109279815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berks Diabetes Management 1030 Reed Ave Suite 116 Wyomissing PA 19610-2039 Ph: (610) 373-7743 | Berks Diabetes Management 1030 Reed Ave Suite 116 Wyomissing PA 19610-2039 Ph: (610) 373-7743 |
| NPI Number | 1619345436 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 09/10/2015 |
| Medicare PECOS PAC ID | 6608186283 |
|---|---|
| Medicare Enrollment ID | O20151111001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619345436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Pennsylvania) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | SP007277 (Pennsylvania) | Primary |
| Provider Name | Ralph M Cincinnati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174580716 PECOS PAC ID: 7719888916 Enrollment ID: I20040120000566 |
| Provider Name | Nicole Myers Strobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477664241 PECOS PAC ID: 5092600551 Enrollment ID: I20040216000535 |
| Provider Name | Nicole Mccollum Cincinnati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952367237 PECOS PAC ID: 7810984002 Enrollment ID: I20040429000137 |
| Provider Name | Coleen Hannigan Schmidley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194808774 PECOS PAC ID: 4284687179 Enrollment ID: I20050303000212 |
| Provider Name | David C Deibert |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528119955 PECOS PAC ID: 1456433036 Enrollment ID: I20080205000317 |
| Provider Name | Ravisha Bai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598162265 PECOS PAC ID: 6103186697 Enrollment ID: I20180131003168 |
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Lloyd M.wolf Iii D.o. Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Meridian Blvd, Wyomissing, PA 19610 Phone: 610-743-3139 Fax: 610-743-3143 | |
Wyomissing Family Medical Assoc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Berkshire Blvd, Ste 950, Wyomissing, PA 19610 Phone: 610-375-8225 Fax: 610-375-1883 |