| Greentown Medical Center | |
|
1623 Route 507 Greentown PA 18426 | |
| (570) 676-5660 | |
| (570) 676-0457 |
| Full Name | Greentown Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1623 Route 507, Greentown, Pennsylvania |
| Authorized Official Name and Position | Yitzchok Kurtzer (OWNER) |
| Authorized Official Contact | 5706765660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greentown Medical Center 1405 Mulberry St Scranton PA 18510 Ph: (570) 342-8199 | Greentown Medical Center 1623 Route 507 Greentown PA 18426 Ph: (570) 676-5660 |
| NPI Number | 1396837035 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 11/26/2008 |
| Medicare PECOS PAC ID | 3971573684 |
|---|---|
| Medicare Enrollment ID | O20040729000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396837035 | NPI | - | NPPES |
| CD7205 | Other | PA | MEDICARE RAILROAD |
| 0781169000 | Other | PERSONAL CHOICE | |
| 29514 | Other | PA | HEALTH AMERICA |
| E1FK | Other | GEISINGER | |
| 0011471600006 | Medicaid | PA | |
| P2804767 | Other | PA | OXFORD |
| 001425 | Other | PA | FIRST PRIORITY HEALTH |
| 005756 | Other | PA | AETNA HMO |
| 644536 | Other | PA | BLUESHIELD |
| 644536PA | Other | ANTHEM BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD040950L (Pennsylvania) | Primary |
| Provider Name | Yitzchok B Kurtzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154321891 PECOS PAC ID: 0244269397 Enrollment ID: I20050809000387 |
Alice Mccormick, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1565 Route 507, Keystone Complex, Greentown, PA 18426 Phone: 570-676-4000 Fax: 570-676-4060 | |
Alice Mc Cormick Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1565 Route 507, Greentown, PA 18426 Phone: 570-676-4276 Fax: 570-969-9697 |