| Medical Service Providers Llc | |
|
14229 Route 35 Richfield PA 17086-8711 | |
| (570) 743-1809 | |
| Not Available |
| Full Name | Medical Service Providers Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 14229 Route 35, Richfield, Pennsylvania |
| Authorized Official Name and Position | Gene William Reisinger (PRESIDENT) |
| Authorized Official Contact | 5707431809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Service Providers Llc 620 Stonebridge Dr Selinsgrove PA 17870-7509 Ph: (570) 743-1809 | Medical Service Providers Llc 14229 Route 35 Richfield PA 17086-8711 Ph: (570) 743-1809 |
| NPI Number | 1730426982 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Medicare PECOS PAC ID | 6800033424 |
|---|---|
| Medicare Enrollment ID | O20130518000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730426982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS005081L (Pennsylvania) | Primary |
| Provider Name | Gail M Shirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457319303 PECOS PAC ID: 8224004395 Enrollment ID: I20040909000562 |
| Provider Name | Gene W Reisinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356380109 PECOS PAC ID: 8527052182 Enrollment ID: I20130531000132 |
Geisinger Clinc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14229 Route 35, Richfield, PA 17086 Phone: 717-694-9909 Fax: 717-694-9912 |