| Meadville Gastroenterology | |
|
1034 Grove St Ste G1 Meadville PA 16335-2945 | |
| (814) 807-1202 | |
| (814) 807-1210 |
| Full Name | Meadville Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1034 Grove St Ste G1, Meadville, Pennsylvania |
| Authorized Official Name and Position | Cory Frank Jackson (CONTROLLER) |
| Authorized Official Contact | 8143335766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadville Gastroenterology 1034 Grove St Meadville PA 16335-2945 Ph: (814) 807-1202 | Meadville Gastroenterology 1034 Grove St Ste G1 Meadville PA 16335-2945 Ph: (814) 807-1202 |
| NPI Number | 1396480372 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Certification Date | 04/18/2022 |
| Medicare PECOS PAC ID | 4284535790 |
|---|---|
| Medicare Enrollment ID | O20220622002332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396480372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Beth a Wimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932189941 PECOS PAC ID: 0143232074 Enrollment ID: I20060615000082 |
| Provider Name | Nitin a Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336323989 PECOS PAC ID: 7315115425 Enrollment ID: I20110715000359 |
| Provider Name | Hannah Komedja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295154441 PECOS PAC ID: 1850785452 Enrollment ID: I20230126001644 |
| Provider Name | Rona De La Vega |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578126207 PECOS PAC ID: 3779022579 Enrollment ID: I20240824000064 |
| Provider Name | Amanda Esmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710746029 PECOS PAC ID: 5092246264 Enrollment ID: I20240930002574 |
Crawford Eye Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1039 Park Ave, Meadville, PA 16335 Phone: 814-724-2020 Fax: 814-337-1150 |
Meadville Medical Associates LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 Liberty Street, Suite 309, Meadville, PA 16335 Phone: 814-373-2997 Fax: 814-373-2989 |
Pioneer Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 Liberty St, Suite # 307, Meadville, PA 16335 Phone: 814-336-1140 Fax: 814-724-2196 |
Cardiology Fpa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-5155 Fax: 814-333-5198 |
Meadville Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 747 Terrace St, Meadville, PA 16335 Phone: 814-373-2976 Fax: 814-333-7071 |
Rebecca D. Lashbrook, MD, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 280 Clinton Ct, Meadville, PA 16335 Phone: 814-333-8277 |