| Probst Family Practice, Llc | |
|
924 Huron Ave Renovo PA 17764-1142 | |
| (412) 655-4362 | |
| Not Available |
| Full Name | Probst Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 924 Huron Ave, Renovo, Pennsylvania |
| Authorized Official Name and Position | Kristen Probst (MANAGER) |
| Authorized Official Contact | 5709270865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Probst Family Practice, Llc Po Box 791 Carnegie PA 15106-0791 Ph: (570) 927-0865 | Probst Family Practice, Llc 924 Huron Ave Renovo PA 17764-1142 Ph: (412) 655-4362 |
| NPI Number | 1518710334 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/09/2025 |
| Medicare PECOS PAC ID | 0446793939 |
|---|---|
| Medicare Enrollment ID | O20240625003336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518710334 | NPI | - | NPPES |
| OS00065L | Other | PA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dennis Probst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598791741 PECOS PAC ID: 1153312186 Enrollment ID: I20110211000771 |
Frank L. Conly Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 924 Huron Ave, Renovo, PA 17764 Phone: 570-923-2700 Fax: 570-923-0824 | |
Bucktail Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Pine St, Renovo, PA 17764 Phone: 570-923-1019 Fax: 570-923-1650 |