| Gates Physician Services Llc | |
|
2525 9th Ave Ste 2b Altoona PA 16602-2014 | |
| (814) 300-2273 | |
| Not Available |
| Full Name | Gates Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2525 9th Ave Ste 2b, Altoona, Pennsylvania |
| Authorized Official Name and Position | Zane Gates (OWNER) |
| Authorized Official Contact | 8142072787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gates Physician Services Llc 2525 9th Ave Ste 2b Altoona PA 16602-2014 Ph: (814) 300-2273 | Gates Physician Services Llc 2525 9th Ave Ste 2b Altoona PA 16602-2014 Ph: (814) 300-2273 |
| NPI Number | 1427742238 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 4587003884 |
|---|---|
| Medicare Enrollment ID | O20240419000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427742238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zane H Gates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649247040 PECOS PAC ID: 3375586522 Enrollment ID: I20050608000421 |
| Provider Name | Jaime Deana Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346974649 PECOS PAC ID: 2567831894 Enrollment ID: I20221208002291 |
| Provider Name | Courtney Blair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326532094 PECOS PAC ID: 5294182614 Enrollment ID: I20231107001851 |
Judith L. Jacobus, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 12th Ave. Bldg F, Altoona, PA 16601 Phone: 814-944-8012 Fax: 814-944-4852 | |
Primary Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 12th Ave, Altoona, PA 16601 Phone: 814-942-9600 Fax: 814-942-9617 | |
Blair Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
Primary Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-942-5000 Fax: 814-942-9500 | |
Upmc Altoona Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave., Altoona, PA 16601 Phone: 814-889-2223 Fax: 814-889-7808 | |
Blair Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
K Siripala Md & Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Chestnut Ave, Altoona, PA 16601 Phone: 814-946-3500 Fax: 814-946-5067 |