Northeast Pennsylvania Memory And Alzheimers Center is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Bear Creek Township, Pennsylvania. The current practice location for Northeast Pennsylvania Memory And Alzheimers Center is 1200 Aleeda Blvd, Bear Creek Township, Pennsylvania. For appointments, you can reach them via phone at
(570) 829-1095. The mailing address for Northeast Pennsylvania Memory And Alzheimers Center is 1200 Aleeda Blvd, Bear Creek Township, Pennsylvania and phone number is (570) 829-1095.
Northeast Pennsylvania Memory And Alzheimers Center is licensed to practice in Pennsylvania (license number OS005253L). The clinic also participates in the medicare program and its
NPI number is 1003074600. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(570) 829-1095.
Primary Care Clinic Profile
| Full Name | Northeast Pennsylvania Memory And Alzheimers Center |
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| Speciality | Family Medicine |
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| Location | 1200 Aleeda Blvd, Bear Creek Township, Pennsylvania |
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| Authorized Official Name and Position | Mario Cornacchione (OWNER) |
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| Authorized Official Contact | 5708291095 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Northeast Pennsylvania Memory And Alzheimers Center
1200 Aleeda Blvd
Bear Creek Township
PA 18702-9611
Ph: (570) 829-1095 | Northeast Pennsylvania Memory And Alzheimers Center
1200 Aleeda Blvd
Bear Creek Township
PA 18702-9611
Ph: (570) 829-1095 |
NPI Details:
| NPI Number | 1003074600 |
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| Provider Enumeration Date | 05/30/2008 |
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| Last Update Date | 07/10/2008 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2365517935 |
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| Medicare Enrollment ID | O20080815000315 |
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Medical Identifiers
Medical identifiers for Northeast Pennsylvania Memory And Alzheimers Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003074600 | NPI | - | NPPES |
| OS005253 | Other | PA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QG0300X | Family Medicine - Geriatric Medicine | OS005253L (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northeast Pennsylvania Memory And Alzheimers Center acts as a billing entity for following providers:
| Provider Name | Mario J Cornacchione |
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| Provider Type | Practitioner - Geriatric Medicine |
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| Provider Identifiers | NPI Number: 1194807503
PECOS PAC ID: 1850308644
Enrollment ID: I20060320000671 |
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