| Fairfield Family Practice Pc | |
|
1300 Sheridan Street Suite 1 Williamsport PA 17701 | |
| (570) 601-6202 | |
| (570) 368-2064 |
| Full Name | Fairfield Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 Sheridan Street, Williamsport, Pennsylvania |
| Authorized Official Name and Position | John A Pellegrino (PHYSICIAN) |
| Authorized Official Contact | 5703682002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Family Practice Pc 1300 Sheridan Street Suite 1 Williamsport PA 17701 Ph: (570) 601-6202 | Fairfield Family Practice Pc 1300 Sheridan Street Suite 1 Williamsport PA 17701 Ph: (570) 601-6202 |
| NPI Number | 1952409898 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952409898 | NPI | - | NPPES |
| 0075301990002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DS008076L (Pennsylvania) | Primary |
Divine Providence Hospital Of The Sisters Of Christian Charity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-326-8601 | |
Crossroads Counseling, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 East Third Street, Williamsport, PA 17701 Phone: 570-323-7535 Fax: 570-323-3790 | |
White Deer Run Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W 4th St, Williamsport, PA 17701 Phone: 570-322-4836 Fax: 570-322-4769 | |
Susquehanna Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |
Samuel E Schrack, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W 4th St, Suite 1a, Williamsport, PA 17701 Phone: 570-327-9110 Fax: 570-327-1181 | |
Susquehanna Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7848 Fax: 570-320-7856 |