| Edward E. Janus, D.o.,p.c. | |
|
3123 W 12th St 3c Erie PA 16505-3848 | |
| (814) 836-9478 | |
| (814) 836-8570 |
| Full Name | Edward E. Janus, D.o.,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3123 W 12th St, Erie, Pennsylvania |
| Authorized Official Name and Position | Edward E Janus (OWNER) |
| Authorized Official Contact | 8148369478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward E. Janus, D.o.,p.c. 3123 W 12th St 3c Erie PA 16505-3848 Ph: (814) 836-9478 | Edward E. Janus, D.o.,p.c. 3123 W 12th St 3c Erie PA 16505-3848 Ph: (814) 836-9478 |
| NPI Number | 1104940501 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4981733474 |
|---|---|
| Medicare Enrollment ID | O20100520001005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104940501 | NPI | - | NPPES |
| 961448 | Other | PA | HIGHMARK |
| 049547 | Other | PA | HIGHMARK |
| 64972 | Medicaid | PA | |
| 10929269 | Other | PA | UNITED HEALTHCARE |
| 185772 | Medicaid | PA | |
| 155828 | Other | PA | HEALTHAMERICA |
| 0006234380003 | Medicaid | PA | |
| 0006234380005 | Medicaid | PA | |
| 585502 | Other | PA | AETNA |
| Provider Name | Edward E Janus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194749770 PECOS PAC ID: 1355470840 Enrollment ID: I20100520000990 |
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