| Internal Medicine Of Berwick Pc Inc | |
|
751 E 16th St Suite300 Berwick PA 18603-2321 | |
| (570) 752-5056 | |
| Not Available |
| Full Name | Internal Medicine Of Berwick Pc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 751 E 16th St, Berwick, Pennsylvania |
| Authorized Official Name and Position | Pavel Pribula (OWNER) |
| Authorized Official Contact | 5707525056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Berwick Pc Inc 751 E 16th St Suite300 Berwick PA 18603-2321 Ph: (570) 752-5056 | Internal Medicine Of Berwick Pc Inc 751 E 16th St Suite300 Berwick PA 18603-2321 Ph: (570) 752-5056 |
| NPI Number | 1265474670 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/12/2013 |
| Medicare PECOS PAC ID | 3870574080 |
|---|---|
| Medicare Enrollment ID | O20040525000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265474670 | NPI | - | NPPES |
| 0075190570002 | Medicaid | PA | |
| 02305400 | Other | PA | CAPITAL BLUE CROSS |
| 1533376 | Other | PA | GATEWAY |
| 1348169 | Other | PA | HIGHMARK BLUE SHIELD |
| 221084 | Other | PA | FIRST PRIORITY HEALTH |
| 010093500 | Other | PA | BLACK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD067594L (Pennsylvania) | Primary |
| Provider Name | Pavel Pribula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043210628 PECOS PAC ID: 8325940075 Enrollment ID: I20040122001087 |
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