| Clearbrook Family Medicine Llc | |
|
863 S Lincoln Ave Tyrone PA 16686-1349 | |
| (814) 684-1245 | |
| (814) 684-1246 |
| Full Name | Clearbrook Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 863 S Lincoln Ave, Tyrone, Pennsylvania |
| Authorized Official Name and Position | Jason E Henninger (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8146841245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearbrook Family Medicine Llc 863 S Lincoln Ave Tyrone PA 16686-1349 Ph: (814) 684-1245 | Clearbrook Family Medicine Llc 863 S Lincoln Ave Tyrone PA 16686-1349 Ph: (814) 684-1245 |
| NPI Number | 1477669901 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477669901 | NPI | - | NPPES |
| DB3021 | Other | PA | RAILROAD MEDICARE |
| 1496395 | Other | PA | HIGHMARK BLUE CROSS |
| 42600 | Other | PA | GEISINGER |
| 265732 | Other | PA | HEALTH AMERICA |
| 204685 | Other | PA | UPMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS009583L (Pennsylvania) | Primary |
Tyrone Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 221 Hospital Dr Ste 6, Tyrone, PA 16686 Phone: 814-684-3103 |