| Blue Mountain Regenerative Medicine Pllc | |
|
124 E Main St. Fredericksburg PA 17026-0152 | |
| (717) 507-4469 | |
| Not Available |
| Full Name | Blue Mountain Regenerative Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 124 E Main St., Fredericksburg, Pennsylvania |
| Authorized Official Name and Position | James Edwin Mckinney (OWNER) |
| Authorized Official Contact | 7178656183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Regenerative Medicine Pllc Po Box 152 Fredericksburg PA 17026-0152 Ph: (717) 507-4469 | Blue Mountain Regenerative Medicine Pllc 124 E Main St. Fredericksburg PA 17026-0152 Ph: (717) 507-4469 |
| NPI Number | 1205434370 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 10/15/2020 |
| Medicare PECOS PAC ID | 3779968367 |
|---|---|
| Medicare Enrollment ID | O20220919000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205434370 | NPI | - | NPPES |
| Provider Name | Joshua Rittenhouse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134666571 PECOS PAC ID: 2163707498 Enrollment ID: I20170328001813 |
| Provider Name | Antonio Giorgio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124731864 PECOS PAC ID: 1951767870 Enrollment ID: I20230519000505 |
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