| Dr Douglas C Shoenberger, Pc | |
|
101 S Main St Suite 101 Coopersburg PA 18036-1912 | |
| (610) 282-1170 | |
| (610) 282-0256 |
| Full Name | Dr Douglas C Shoenberger, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 S Main St, Coopersburg, Pennsylvania |
| Authorized Official Name and Position | Amber L Wuesthoff (OFFICE MANAGER) |
| Authorized Official Contact | 6102821170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas C Shoenberger, Pc 101 S Main St Suite 101 Coopersburg PA 18036-1912 Ph: (610) 282-1170 | Dr Douglas C Shoenberger, Pc 101 S Main St Suite 101 Coopersburg PA 18036-1912 Ph: (610) 282-1170 |
| NPI Number | 1790902427 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 03/25/2013 |
| Medicare PECOS PAC ID | 7810023363 |
|---|---|
| Medicare Enrollment ID | O20100413000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790902427 | NPI | - | NPPES |
| 1198777 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD044386E (Pennsylvania) | Primary |
| Provider Name | Vincent Smolczynski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407897408 PECOS PAC ID: 3274588165 Enrollment ID: I20050314000626 |
| Provider Name | H Thompson Dale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992891485 PECOS PAC ID: 8820015860 Enrollment ID: I20051028000360 |
| Provider Name | Brooke H Kunsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043366875 PECOS PAC ID: 6204921687 Enrollment ID: I20071001000020 |
| Provider Name | Joseph M Daday |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487644001 PECOS PAC ID: 2466590369 Enrollment ID: I20091113000344 |
| Provider Name | Douglas C Shoenberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033183983 PECOS PAC ID: 6901932458 Enrollment ID: I20100413000053 |
| Provider Name | Kimberly Poehlmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639530165 PECOS PAC ID: 7012216773 Enrollment ID: I20160502000401 |
Coopersburg Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Suite 101, Coopersburg, PA 18036 Phone: 610-282-1170 Fax: 610-282-0256 | |
Valley Family Therapeutics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 551 E Station Ave, Coopersburg, PA 18036 Phone: 484-863-9220 Fax: 610-465-8611 |