| Img Nursing Home Care, P.c. | |
|
82 Tunnel Rd Pottsville PA 17901-3869 | |
| (570) 622-5455 | |
| (570) 622-5493 |
| Full Name | Img Nursing Home Care, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 82 Tunnel Rd, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Kimberly Walsh (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5706225455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Img Nursing Home Care, P.c. 82 Tunnel Rd Pottsville PA 17901-3869 Ph: (570) 622-5455 | Img Nursing Home Care, P.c. 82 Tunnel Rd Pottsville PA 17901-3869 Ph: (570) 622-5455 |
| NPI Number | 1144843897 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 8628491735 |
|---|---|
| Medicare Enrollment ID | O20200708002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144843897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Elliot Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033202502 PECOS PAC ID: 0042291833 Enrollment ID: I20040527000433 |
| Provider Name | Naomi Elaine Scearce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497729669 PECOS PAC ID: 8820053713 Enrollment ID: I20041119000512 |
| Provider Name | Herbert Rubright |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1982771747 PECOS PAC ID: 8123127081 Enrollment ID: I20070619000340 |
| Provider Name | Kamla Kant Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972581924 PECOS PAC ID: 7719086925 Enrollment ID: I20070628000016 |
| Provider Name | Kimberly Murphy Rauenzahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235215567 PECOS PAC ID: 9739288549 Enrollment ID: I20070717000012 |
| Provider Name | Leif E Christiansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710988092 PECOS PAC ID: 5799866752 Enrollment ID: I20080115000818 |
| Provider Name | Bichara Charles Muvdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679571756 PECOS PAC ID: 9234201104 Enrollment ID: I20091124000557 |
| Provider Name | Diane T Bonaccorsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235224841 PECOS PAC ID: 8527046044 Enrollment ID: I20100302000071 |
| Provider Name | Phillip E Tobash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659344455 PECOS PAC ID: 2062549579 Enrollment ID: I20100414000709 |
| Provider Name | Angela Furca-brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871896712 PECOS PAC ID: 9436331949 Enrollment ID: I20110304000255 |
| Provider Name | Robert Joseph Thurick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326208109 PECOS PAC ID: 0840462123 Enrollment ID: I20111010000406 |
| Provider Name | Diana D Lazur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144292764 PECOS PAC ID: 2961662622 Enrollment ID: I20120404000738 |
| Provider Name | Manish K Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306089222 PECOS PAC ID: 9335396068 Enrollment ID: I20120830000596 |
| Provider Name | Lisa A Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477006534 PECOS PAC ID: 3476841776 Enrollment ID: I20161019000231 |
| Provider Name | Sharon M Melincavage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639249295 PECOS PAC ID: 1557644143 Enrollment ID: I20170206000411 |
| Provider Name | Ashleigh G Gehret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265993307 PECOS PAC ID: 6406180306 Enrollment ID: I20190626003178 |
| Provider Name | Andrew Dennis Rall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477031847 PECOS PAC ID: 4587994538 Enrollment ID: I20190918001267 |
| Provider Name | Kersten Elizabeth Reider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164033916 PECOS PAC ID: 4688092240 Enrollment ID: I20200914001454 |
Geisinger Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 One Norwegian Plz, Pottsville, PA 17901 Phone: 570-622-8500 | |
The Progressions Companies, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Norwegian Plz, Pottsville, PA 17901 Phone: 570-622-9448 Fax: 570-622-9102 | |
Glenn Freed Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Schuylkill Medical Plz, Suite 101, Pottsville, PA 17901 Phone: 570-622-3366 Fax: 570-622-6638 | |
Pottsville Internists Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 S Claude A Lord Blvd, Pottsville, PA 17901 Phone: 570-622-4209 Fax: 570-622-1386 | |
Maternal & Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 W Market St, Pottsville, PA 17901 Phone: 570-622-1244 Fax: 570-628-2227 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Keystone Blvd, Pottsville, PA 17901 Phone: 570-544-1633 Fax: 570-544-9872 | |
Integrated Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Tunnel Rd, Suite 203, Pottsville, PA 17901 Phone: 570-622-5455 Fax: 570-622-5493 |