| Id Care And Travel Health Of Northwest Pa, P.c. | |
|
764 Kennedy St Suite 303 Meadville PA 16335-2209 | |
| (814) 373-2195 | |
| (914) 373-2197 |
| Full Name | Id Care And Travel Health Of Northwest Pa, P.c. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 764 Kennedy St, Meadville, Pennsylvania |
| Authorized Official Name and Position | Carol Felisa Encarnacion (PHYSICIAN-OWNER) |
| Authorized Official Contact | 8143732195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Care And Travel Health Of Northwest Pa, P.c. 764 Kennedy St Suite 303 Meadville PA 16335-2209 Ph: (814) 373-2195 | Id Care And Travel Health Of Northwest Pa, P.c. 764 Kennedy St Suite 303 Meadville PA 16335-2209 Ph: (814) 373-2195 |
| NPI Number | 1609990282 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609990282 | NPI | - | NPPES |
| DA1188 | Other | PA | RR MEDICARE GROUP NUMBER |
| 1427232 | Other | PA | HIGHMARK PROVIDER NUMBER |
| MEDPLUS | Other | PA | 139871 |
| UPMC | Other | PA | 319230 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD420301 (Pennsylvania) | Primary |
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