| Kenneth R Durrwachter Md Pc | |
|
1705 Warren Ave Suite 208 Williamsport PA 17701-2647 | |
| (570) 601-6230 | |
| (570) 601-6232 |
| Full Name | Kenneth R Durrwachter Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1705 Warren Ave, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Kenneth R Durrwachter (OWNER) |
| Authorized Official Contact | 5706016230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Durrwachter Md Pc 1705 Warren Ave Suite 208 Williamsport PA 17701-2647 Ph: () - | Kenneth R Durrwachter Md Pc 1705 Warren Ave Suite 208 Williamsport PA 17701-2647 Ph: (570) 601-6230 |
| NPI Number | 1275586281 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 01/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275586281 | NPI | - | NPPES |
| 1016212250001 | Medicaid | PA | |
| C253 | Other | PA | GEISINGER HEALTH PLAN |
| 1849658 | Other | PA | HIGHMARK BLUE SHIELD |
| 222566 | Other | PA | FIRST PRIORITY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD045039L (Pennsylvania) | Primary |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Warren Ave, Suite 303, Williamsport, PA 17701 Phone: 570-326-8500 Fax: 570-326-8049 | |
Divine Providence Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-326-8601 | |
White Deer Run Of Williamsport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W 4th St, Williamsport, PA 17701 Phone: 570-322-4836 Fax: 570-322-4769 | |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |
Sps-peck Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Campbell St, Suite 202, Williamsport, PA 17701 Phone: 570-321-2290 Fax: 570-321-2289 |