Berwick Clinic Company Llc | |
751 E 16th St Suite 400 Berwick PA 18603-2321 | |
(505) 759-5555 | |
(505) 759-5553 |
Full Name | Berwick Clinic Company Llc |
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Speciality | Family Medicine |
Location | 751 E 16th St, Berwick, Pennsylvania |
Authorized Official Name and Position | Debbie T Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
Authorized Official Contact | 6154657626 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Berwick Clinic Company Llc 751 E 16th St Suite 400 Berwick PA 18603-2321 Ph: (505) 759-5555 | Berwick Clinic Company Llc 751 E 16th St Suite 400 Berwick PA 18603-2321 Ph: (505) 759-5555 |
NPI Number | 1184793127 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 10/26/2009 |
Medicare PECOS PAC ID | 0648279620 |
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Medicare Enrollment ID | O20061221000093 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184793127 | NPI | - | NPPES |
1018125400003 | Medicaid | PA | |
1917716 | Other | PA | HIGMARK BLUE SHIELD |
1018125400001 | Medicaid | PA |
Provider Name | Kevin Carey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477643294 PECOS PAC ID: 6507892130 Enrollment ID: I20050714000376 |
Provider Name | Ben E Montgomery |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255328076 PECOS PAC ID: 4789650326 Enrollment ID: I20050823000871 |
Provider Name | Kathy Eileen Baylor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255316030 PECOS PAC ID: 2163453671 Enrollment ID: I20050824000942 |
Provider Name | Patrick Fiero |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1396711974 PECOS PAC ID: 1456378736 Enrollment ID: I20051026000425 |
Provider Name | Annette Rae Borger |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629078027 PECOS PAC ID: 1254336746 Enrollment ID: I20060915000051 |
Provider Name | Laura S Swingle |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1881679744 PECOS PAC ID: 6709882590 Enrollment ID: I20061019000456 |
Provider Name | Robert A Gregor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518037217 PECOS PAC ID: 2163422155 Enrollment ID: I20061221000229 |
Provider Name | Leon R Francis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871571257 PECOS PAC ID: 8527150630 Enrollment ID: I20070822000086 |
Provider Name | John Guerriero |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1952525958 PECOS PAC ID: 2668564105 Enrollment ID: I20070828000845 |
Provider Name | Donald J Stone |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417992421 PECOS PAC ID: 5294828778 Enrollment ID: I20070830000057 |
Provider Name | Alexsandra K Motroni |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417017393 PECOS PAC ID: 3476640335 Enrollment ID: I20071025000051 |
Provider Name | Michael B Levandowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023275955 PECOS PAC ID: 3870648835 Enrollment ID: I20090827000496 |
Provider Name | Albert J Alley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417924267 PECOS PAC ID: 6608919485 Enrollment ID: I20100202000239 |
Provider Name | Jose F Derr |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942298070 PECOS PAC ID: 6608903612 Enrollment ID: I20100423000124 |
Provider Name | Marek Kurowski |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1366685653 PECOS PAC ID: 5193840346 Enrollment ID: I20100913000368 |
Provider Name | Ira Vohra |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871769125 PECOS PAC ID: 0345438719 Enrollment ID: I20101229000639 |
Provider Name | Ayesha Usman |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558590455 PECOS PAC ID: 3375794175 Enrollment ID: I20121102000396 |
Provider Name | Verona D Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477986719 PECOS PAC ID: 3274751813 Enrollment ID: I20140825000227 |
Provider Name | Kwaku Nyame Boakye |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851653984 PECOS PAC ID: 3072745736 Enrollment ID: I20150805006887 |
Provider Name | Loren Mangino |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851730550 PECOS PAC ID: 1254562309 Enrollment ID: I20161004000274 |
Provider Name | Roslon Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639611924 PECOS PAC ID: 0244512176 Enrollment ID: I20170128000159 |
Provider Name | Erica Perez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396157913 PECOS PAC ID: 3375845639 Enrollment ID: I20170810001932 |
Provider Name | Ryan J Hawley |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1396997524 PECOS PAC ID: 6406098995 Enrollment ID: I20180502002264 |
Provider Name | Michelle L Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558865311 PECOS PAC ID: 4789948522 Enrollment ID: I20180503000708 |
Provider Name | Maxwell Eric Tolan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366821274 PECOS PAC ID: 6002121571 Enrollment ID: I20180711002700 |
Provider Name | Dallas J Riley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871263129 PECOS PAC ID: 5597151670 Enrollment ID: I20220330001496 |
Berwick Medical Professionals Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 E 16th St, Berwick, PA 18603 Phone: 570-759-5555 Fax: 570-759-5553 | |
Osman Medical Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Fowler Ave Ste 203, Berwick, PA 18603 Phone: 570-752-4516 Fax: 570-752-4518 | |
Internal Medicine Of Berwick Pc Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 751 E 16th St, Suite300, Berwick, PA 18603 Phone: 570-752-5056 | |
Riverhealth L.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 East 16th Street, Suite 100, Berwick, PA 18603 Phone: 570-294-2095 | |
Berwick Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E 16th St, Berwick, PA 18603 Phone: 570-759-5000 | |
Gaudenzia Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Chestnut St, Suite 2, Berwick, PA 18603 Phone: 570-752-2985 Fax: 570-752-2987 |