| Decker Family Medicine Llc | |
|
901 Water St Meadville PA 16335-3434 | |
| (814) 337-1144 | |
| (814) 337-0941 |
| Full Name | Decker Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 901 Water St, Meadville, Pennsylvania |
| Authorized Official Name and Position | Martin J Decker (OWNER) |
| Authorized Official Contact | 8143371144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Decker Family Medicine Llc 901 Water St Meadville PA 16335-3434 Ph: (814) 337-1144 | Decker Family Medicine Llc 901 Water St Meadville PA 16335-3434 Ph: (814) 337-1144 |
| NPI Number | 1518362243 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 06/07/2016 |
| Medicare PECOS PAC ID | 5193049377 |
|---|---|
| Medicare Enrollment ID | O20150116000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518362243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS010482L (Pennsylvania) | Primary |
| Provider Name | Martin Joseph Decker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831152099 PECOS PAC ID: 5496941270 Enrollment ID: I20101118000887 |
| Provider Name | Jennifer S Rhoten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861948838 PECOS PAC ID: 1355620337 Enrollment ID: I20161115000937 |
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