| Plumsteadville Family Practice | |
|
5612 Easton Rd Plumsteadville PA 18949 | |
| (215) 766-8844 | |
| (215) 766-0733 |
| Full Name | Plumsteadville Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 5612 Easton Rd, Plumsteadville, Pennsylvania |
| Authorized Official Name and Position | Joseph D Ferrara (VICE PRESIDENT) |
| Authorized Official Contact | 2157668844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plumsteadville Family Practice 5612 Easton Rd P O Box 866 Plumsteadville PA 18949 Ph: (215) 766-8844 | Plumsteadville Family Practice 5612 Easton Rd Plumsteadville PA 18949 Ph: (215) 766-8844 |
| NPI Number | 1275573503 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 07/11/2007 |
| Medicare PECOS PAC ID | 9335138155 |
|---|---|
| Medicare Enrollment ID | O20040507000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275573503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott Michael Blore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063405710 PECOS PAC ID: 3779556634 Enrollment ID: I20040818000586 |
| Provider Name | Elizabeth Mckenna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861480584 PECOS PAC ID: 4082743331 Enrollment ID: I20100525000092 |
| Provider Name | Joseph Ferrara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215925979 PECOS PAC ID: 3971565797 Enrollment ID: I20100611000665 |
| Provider Name | Khara Ayres Woehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245738889 PECOS PAC ID: 3375806342 Enrollment ID: I20180405000476 |
| Provider Name | Karen A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164063681 PECOS PAC ID: 3779917232 Enrollment ID: I20191217000815 |
| Provider Name | Inthushi Selvanayagam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700311313 PECOS PAC ID: 2961835574 Enrollment ID: I20201008002624 |