| Blue Mountain Psychiatry, Llc | |
|
241 N 13th St Ste 201 Easton PA 18042 | |
| (610) 829-5089 | |
| (888) 972-2853 |
| Full Name | Blue Mountain Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 241 N 13th St Ste 201, Easton, Pennsylvania |
| Authorized Official Name and Position | Muhamad Aly Rifai (SOLE PROPRIETOR) |
| Authorized Official Contact | 6108295089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Psychiatry, Llc Po Box 1360 Easton PA 18044-1360 Ph: (610) 829-5089 | Blue Mountain Psychiatry, Llc 241 N 13th St Ste 201 Easton PA 18042 Ph: (610) 829-5089 |
| NPI Number | 1679819908 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 07/18/2019 |
| Medicare PECOS PAC ID | 5496909376 |
|---|---|
| Medicare Enrollment ID | O20130130000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679819908 | NPI | - | NPPES |
| Provider Name | Arif Husain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043276918 PECOS PAC ID: 5799676615 Enrollment ID: I20040322000866 |
| Provider Name | Eugene Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760458004 PECOS PAC ID: 8123019270 Enrollment ID: I20040623001003 |
| Provider Name | Muhamad Rifai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922053388 PECOS PAC ID: 5597748665 Enrollment ID: I20070713000060 |
| Provider Name | Yasser K Khalil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306058128 PECOS PAC ID: 7012008840 Enrollment ID: I20070809000048 |
| Provider Name | Elizabeth K Nesland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366628612 PECOS PAC ID: 3375626948 Enrollment ID: I20080206000323 |
| Provider Name | Sandra A Grello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609169887 PECOS PAC ID: 6901064005 Enrollment ID: I20120221000510 |
| Provider Name | Cynthia Ann Reddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568806677 PECOS PAC ID: 8022259837 Enrollment ID: I20130720000068 |
| Provider Name | Eileen Teyim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770767014 PECOS PAC ID: 1658650296 Enrollment ID: I20161122001269 |
| Provider Name | Renee A Denobrega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316263882 PECOS PAC ID: 9739403056 Enrollment ID: I20171106001543 |
| Provider Name | Lucille Ann Constantine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194082347 PECOS PAC ID: 6608137013 Enrollment ID: I20180228000444 |
| Provider Name | Philip Arthur Grieshaber |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063647790 PECOS PAC ID: 3779833801 Enrollment ID: I20180911000699 |
| Provider Name | Asim A Rizvi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043521487 PECOS PAC ID: 9032469978 Enrollment ID: I20180913002572 |
| Provider Name | Bernice Loretta Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750809919 PECOS PAC ID: 2466858709 Enrollment ID: I20210910002333 |
| Provider Name | Erica C Lyden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073197786 PECOS PAC ID: 9133525298 Enrollment ID: I20210915001092 |
| Provider Name | Shildia L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336867829 PECOS PAC ID: 1759752116 Enrollment ID: I20230123000035 |
St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2403 Butler St, Easton, PA 18042 Phone: 484-822-5405 | |
St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 352 Northampton St, Easton, PA 18042 Phone: 484-526-6048 Fax: 833-213-6428 | |
Defranco Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 Ferry St, Easton, PA 18042 Phone: 610-597-2390 | |
St. Luke's Warren Palmer Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Community Dr, Easton, PA 18045 Phone: 610-252-8037 Fax: 610-252-1861 | |
Lvpg Expresscare-palmer Township Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Corriere Rd, Easton, PA 18045 Phone: 484-591-7000 | |
Smg Tri-state Region Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Corporate Dr, Ste. 1, Easton, PA 18045 Phone: 615-467-4158 Fax: 615-467-1267 | |
Stanley R Walker Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Corporate Dr, Suite 1, Easton, PA 18045 Phone: 610-252-0962 Fax: 610-252-4060 |