| Genesis Medical Associates, Inc. | |
|
188 Enclave Dr New Castle PA 16105-3208 | |
| (724) 657-3201 | |
| (724) 657-3223 |
| Full Name | Genesis Medical Associates, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 188 Enclave Dr, New Castle, Pennsylvania |
| Authorized Official Name and Position | Richard Stevenson (CFO) |
| Authorized Official Contact | 4123699550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Associates, Inc. 8150 Perry Hwy Ste 201 Pittsburgh PA 15237-5200 Ph: (412) 369-9550 | Genesis Medical Associates, Inc. 188 Enclave Dr New Castle PA 16105-3208 Ph: (724) 657-3201 |
| NPI Number | 1417732116 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417732116 | NPI | - | NPPES |
| 5364924 | Other | PA | BLUE SHIELD |
| 001517153-0050 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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