| Robert F Mcevoy Md Llc | |
|
125 S 1st St Bangor PA 18013-2615 | |
| (610) 588-8282 | |
| Not Available |
| Full Name | Robert F Mcevoy Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 S 1st St, Bangor, Pennsylvania |
| Authorized Official Name and Position | Robert F Mcevoy (PHYSICIAN) |
| Authorized Official Contact | 6103903084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert F Mcevoy Md Llc 125 S 1st St Bangor PA 18013-2615 Ph: (610) 588-8282 | Robert F Mcevoy Md Llc 125 S 1st St Bangor PA 18013-2615 Ph: (610) 588-8282 |
| NPI Number | 1497387773 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Medicare PECOS PAC ID | 5294161089 |
|---|---|
| Medicare Enrollment ID | O20200217000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497387773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robert F Mcevoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629025093 PECOS PAC ID: 6709917727 Enrollment ID: I20100708000096 |
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St. Luke's Internal Medicine Bangor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S 1st St, Bangor, PA 18013 Phone: 610-588-8282 Fax: 610-588-5761 |