Integrated Medical Group P C | |
82 Tunnel Rd Pottsville PA 17901-3869 | |
(570) 622-5455 | |
(570) 622-5493 |
Full Name | Integrated Medical Group P C |
---|---|
Speciality | Family Medicine |
Location | 82 Tunnel Rd, Pottsville, Pennsylvania |
Authorized Official Name and Position | Jennifer Boyer (BILLING MANAGER) |
Authorized Official Contact | 5706225455 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Integrated Medical Group P C 82 Tunnel Rd Pottsville PA 17901-3869 Ph: (570) 622-5455 | Integrated Medical Group P C 82 Tunnel Rd Pottsville PA 17901-3869 Ph: (570) 622-5455 |
NPI Number | 1336102268 |
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Provider Enumeration Date | 04/11/2006 |
Last Update Date | 02/10/2016 |
Medicare PECOS PAC ID | 1355247180 |
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Medicare Enrollment ID | O20031211000232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336102268 | NPI | - | NPPES |
100775174 | Medicaid | PA |
Provider Name | Roy A Schaefer |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1154318145 PECOS PAC ID: 1759285018 Enrollment ID: I20031120000066 |
Provider Name | Eric Alan Parrish |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992705511 PECOS PAC ID: 9537079264 Enrollment ID: I20040115000761 |
Provider Name | Barbara E Bennethum |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1265535397 PECOS PAC ID: 3577465129 Enrollment ID: I20040123000362 |
Provider Name | Stanley J Gorski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194795468 PECOS PAC ID: 7517859457 Enrollment ID: I20040326000187 |
Provider Name | Steven L Muthler |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1124009683 PECOS PAC ID: 5698763209 Enrollment ID: I20040519000146 |
Provider Name | Debra S Papp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902861636 PECOS PAC ID: 9032190905 Enrollment ID: I20040526001180 |
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 | Jeffrey A Gold |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548228216 PECOS PAC ID: 5799739215 Enrollment ID: I20050308000952 |
Provider Name | Zarar M Bajwa |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194705715 PECOS PAC ID: 2769427954 Enrollment ID: I20050628000727 |
Provider Name | Joseph L Spadoni |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275600785 PECOS PAC ID: 8628006087 Enrollment ID: I20050728000097 |
Provider Name | Cristin Ann Weicker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114910320 PECOS PAC ID: 6709815327 Enrollment ID: I20050804000365 |
Provider Name | Gokhan Gormus |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1609874577 PECOS PAC ID: 4385699339 Enrollment ID: I20050812000630 |
Provider Name | Shailesh M Unjia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811913577 PECOS PAC ID: 3476578014 Enrollment ID: I20051012000634 |
Provider Name | Diana L Schwartz |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1376506675 PECOS PAC ID: 4587675541 Enrollment ID: I20060505000567 |
Provider Name | Mikhail I Rakhmanine |
---|---|
Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1326028705 PECOS PAC ID: 1951359942 Enrollment ID: I20060531000164 |
Provider Name | Kathiresan Suppiah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851340392 PECOS PAC ID: 7214930262 Enrollment ID: I20060919000452 |
Provider Name | Gustaw Woch |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1669484259 PECOS PAC ID: 8325043680 Enrollment ID: I20060921000017 |
Provider Name | Anil Kumar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093778359 PECOS PAC ID: 0648295121 Enrollment ID: I20061013000014 |
Provider Name | Frank G Kusi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1457375164 PECOS PAC ID: 8921007774 Enrollment ID: I20061205000689 |
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 | Andrew B Severance |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1154358588 PECOS PAC ID: 5991753089 Enrollment ID: I20080218000082 |
Provider Name | Vijay Sridhar Karajala Subramanyam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033243480 PECOS PAC ID: 7517043110 Enrollment ID: I20080324000402 |
Provider Name | Marcia L Gilbert |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1679759443 PECOS PAC ID: 7012093255 Enrollment ID: I20080327000637 |
Provider Name | Mark D Brayford |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417155151 PECOS PAC ID: 7416034855 Enrollment ID: I20080409000257 |
Provider Name | Gopalan Sridhar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1063403764 PECOS PAC ID: 5698846806 Enrollment ID: I20080616000628 |
Provider Name | Cynthia L Lubinsky |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750573812 PECOS PAC ID: 6608940812 Enrollment ID: I20080806000577 |
Provider Name | Patrick Tiedeken |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1013994805 PECOS PAC ID: 5193617603 Enrollment ID: I20081008000809 |
Provider Name | Bernard C Adukaitis |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194704239 PECOS PAC ID: 6800955352 Enrollment ID: I20081112000680 |
Provider Name | John Park |
---|---|
Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1083690200 PECOS PAC ID: 7719075522 Enrollment ID: I20081125000368 |
Provider Name | Edward J Corbacio |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922041508 PECOS PAC ID: 8224190897 Enrollment ID: I20081217000039 |
Provider Name | Wubnew E Zewdie |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1982871786 PECOS PAC ID: 1951479757 Enrollment ID: I20090317000394 |
Provider Name | Jason C Phillips |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1639386303 PECOS PAC ID: 5496803496 Enrollment ID: I20090430000526 |
Provider Name | Fauzia O Maqbool |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1770574568 PECOS PAC ID: 6901956606 Enrollment ID: I20090617000570 |
Provider Name | Karin Tursack |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659504637 PECOS PAC ID: 5991731929 Enrollment ID: I20091005000600 |
Provider Name | Christopher S Gordos |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780651091 PECOS PAC ID: 0840330841 Enrollment ID: I20091223000406 |
Provider Name | Pamela D Murphy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841386273 PECOS PAC ID: 4082756580 Enrollment ID: I20100121000614 |
Provider Name | Calvin D Stoudt |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1134232242 PECOS PAC ID: 8628078409 Enrollment ID: I20100128000518 |
Provider Name | Michael J Bradley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609981992 PECOS PAC ID: 9133264765 Enrollment ID: I20100306000010 |
Provider Name | Gary Cortese |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1497759336 PECOS PAC ID: 8224164546 Enrollment ID: I20100325000951 |
Provider Name | Francis P Mohan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760453831 PECOS PAC ID: 5799811238 Enrollment ID: I20100412000042 |
Provider Name | Phillip E Tobash |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659344455 PECOS PAC ID: 2062549579 Enrollment ID: I20100414000709 |
Provider Name | Stephen O Slusser |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1003880006 PECOS PAC ID: 7719978584 Enrollment ID: I20100423000877 |
Provider Name | Amrit P Narula |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1720050222 PECOS PAC ID: 2163319112 Enrollment ID: I20100712000328 |
Provider Name | Mackenzie A Mady |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760641328 PECOS PAC ID: 9931223336 Enrollment ID: I20100907000649 |
Provider Name | Umai H. Shaik |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1497806269 PECOS PAC ID: 7012072267 Enrollment ID: I20110126000904 |
Provider Name | Angela Furca-brennan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871896712 PECOS PAC ID: 9436331949 Enrollment ID: I20110304000255 |
Provider Name | Timothy Guy Grube |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194720870 PECOS PAC ID: 9436337649 Enrollment ID: I20110616000640 |
Provider Name | David C Zobian |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1770608978 PECOS PAC ID: 1759569270 Enrollment ID: I20110701000045 |
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 | Michael Schettino |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1497872824 PECOS PAC ID: 9436346392 Enrollment ID: I20120912000235 |
Provider Name | Keren C Mccarthy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700180577 PECOS PAC ID: 5496997819 Enrollment ID: I20130815000102 |
Provider Name | Jessica A White |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104085539 PECOS PAC ID: 5597929786 Enrollment ID: I20140220001410 |
Provider Name | Sara Arn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902221138 PECOS PAC ID: 8426289729 Enrollment ID: I20140331001129 |
Provider Name | Nikunj Prafulbhai Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548573405 PECOS PAC ID: 7810182565 Enrollment ID: I20141224001068 |
Provider Name | Tiffany A Keller |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1851798441 PECOS PAC ID: 9234452814 Enrollment ID: I20150107000598 |
Provider Name | Rahul Bhagat |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205122280 PECOS PAC ID: 3173849627 Enrollment ID: I20150228000156 |
Provider Name | Nisreen M Madhoun |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982835286 PECOS PAC ID: 5294953618 Enrollment ID: I20150611002003 |
Provider Name | Amanda J Laskoskie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225436066 PECOS PAC ID: 7719281112 Enrollment ID: I20160204002054 |
Provider Name | Nathan C Tiedeken |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1487965893 PECOS PAC ID: 2264726694 Enrollment ID: I20160809000354 |
Provider Name | Yulia Yuryevna Slonova |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073855185 PECOS PAC ID: 9537447230 Enrollment ID: I20161101001035 |
Provider Name | Sharon M Melincavage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639249295 PECOS PAC ID: 1557644143 Enrollment ID: I20170206000411 |
Provider Name | Veronica Lardani |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1720476955 PECOS PAC ID: 8325364748 Enrollment ID: I20170613001077 |
Provider Name | Farooq S Ghouri |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1245644830 PECOS PAC ID: 1052694395 Enrollment ID: I20170926000450 |
Provider Name | Ankush Agarwal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629445721 PECOS PAC ID: 3173899861 Enrollment ID: I20171025000355 |
Provider Name | Travis F Magdaleno |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1649657701 PECOS PAC ID: 7810204740 Enrollment ID: I20180522003034 |
Provider Name | Vipul D Sharma |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1538504949 PECOS PAC ID: 0941504427 Enrollment ID: I20180917000107 |
Provider Name | Janak R Patel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1316334923 PECOS PAC ID: 7113226291 Enrollment ID: I20180917001259 |
Provider Name | Carol A Bilinski |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184603540 PECOS PAC ID: 6204180268 Enrollment ID: I20181112001075 |
Provider Name | Monica B Benulis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912462243 PECOS PAC ID: 3870834278 Enrollment ID: I20190412000301 |
Provider Name | Beth A Czarnecki |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1952326191 PECOS PAC ID: 6608100888 Enrollment ID: I20190621000219 |
Provider Name | Ashleigh G Gehret |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265993307 PECOS PAC ID: 6406180306 Enrollment ID: I20190626003178 |
Provider Name | Kelly Marie Kalovcak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275996746 PECOS PAC ID: 3072841279 Enrollment ID: I20190827000517 |
Provider Name | Andrew Dennis Rall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477031847 PECOS PAC ID: 4587994538 Enrollment ID: I20190918001267 |
Provider Name | Jared J Cicero |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942722152 PECOS PAC ID: 6002247004 Enrollment ID: I20200506003268 |
Provider Name | Poonam Kothari |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609375864 PECOS PAC ID: 8527481092 Enrollment ID: I20200701001295 |
Provider Name | Kersten Elizabeth Reider |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164033916 PECOS PAC ID: 4688092240 Enrollment ID: I20200914001454 |
Provider Name | Cianna Elizabeth Corbacio |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326659889 PECOS PAC ID: 9234557810 Enrollment ID: I20200914002076 |
Provider Name | Sue Lynn Mccormick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699361642 PECOS PAC ID: 6204248909 Enrollment ID: I20201223000018 |
Provider Name | Claudel Gratia |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1508001496 PECOS PAC ID: 5890917264 Enrollment ID: I20210204001121 |
Provider Name | Pavan J Garala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750885950 PECOS PAC ID: 6800295072 Enrollment ID: I20210521000031 |
Provider Name | Paula L Corbacio |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114524030 PECOS PAC ID: 0042611303 Enrollment ID: I20210624002341 |
Provider Name | Promise Amhanzenodion |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487237137 PECOS PAC ID: 9830576743 Enrollment ID: I20220516001076 |
Provider Name | Jeri Wong |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1770220436 PECOS PAC ID: 0941681357 Enrollment ID: I20220718000113 |
Provider Name | Liam Emmett Davis Glowaski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407535644 PECOS PAC ID: 8628431418 Enrollment ID: I20230827000038 |
Provider Name | Michael S Johns |
---|---|
Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1639601214 PECOS PAC ID: 3072882448 Enrollment ID: I20230912000379 |
Provider Name | Kristy Ann Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659053312 PECOS PAC ID: 5597119750 Enrollment ID: I20230922000093 |
Provider Name | Candace Kay Plank |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629851274 PECOS PAC ID: 1254787062 Enrollment ID: I20231031002235 |
Provider Name | Ashley Blackburn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427822378 PECOS PAC ID: 9931558103 Enrollment ID: I20231213001458 |
Provider Name | Jessica Lynne Beck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184318693 PECOS PAC ID: 4486005535 Enrollment ID: I20240112002381 |
Provider Name | Kevin Turner |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1184874125 PECOS PAC ID: 9739327719 Enrollment ID: I20240711003394 |
Provider Name | Lissa Kutz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477108942 PECOS PAC ID: 3375080096 Enrollment ID: I20240731000063 |
Provider Name | Lee A Kripke |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1063907004 PECOS PAC ID: 2860939204 Enrollment ID: I20240803000035 |
Provider Name | Brian J Miller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942073192 PECOS PAC ID: 3779020110 Enrollment ID: I20240803000037 |
Provider Name | Nishu Desai |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982273983 PECOS PAC ID: 5092256172 Enrollment ID: I20240917000169 |
Provider Name | Stephanie Yunker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396558870 PECOS PAC ID: 7810427929 Enrollment ID: I20250204003863 |
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 | |
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 | |
Schuylkill Health System Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Schuylkill Medical Plz, Pottsville, PA 17901 Phone: 570-621-9200 Fax: 570-621-9201 | |
Gaudenzia Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 S 2nd St, 4th Floor, Pottsville, PA 17901 Phone: 570-622-6485 Fax: 570-622-2422 | |
St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 Woodglen Rd, Pottsville, PA 17901 Phone: 484-526-6048 |