| Scalia Primary Care Pc | |
|
35 Tremont Rd Pine Grove PA 17963-8629 | |
| (570) 691-5277 | |
| Not Available |
| Full Name | Scalia Primary Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 35 Tremont Rd, Pine Grove, Pennsylvania |
| Authorized Official Name and Position | Robert Scalia (OWNER) |
| Authorized Official Contact | 5706915277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scalia Primary Care Pc 35 Tremont Rd Pine Grove PA 17963-8629 Ph: (570) 691-5277 | Scalia Primary Care Pc 35 Tremont Rd Pine Grove PA 17963-8629 Ph: (570) 691-5277 |
| NPI Number | 1952717738 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 07/01/2014 |
| Medicare PECOS PAC ID | 1759501893 |
|---|---|
| Medicare Enrollment ID | O20141013001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952717738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS007750L (Pennsylvania) | Primary |
| 208000000X | Pediatrics | OS007750L (Pennsylvania) | Secondary |
| Provider Name | Robert A Scalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225021439 PECOS PAC ID: 4880637347 Enrollment ID: I20050606000672 |
| Provider Name | Jennifer Nadine Kepner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962101253 PECOS PAC ID: 7517324809 Enrollment ID: I20230531003430 |
Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N Tulpehocken St, Pine Grove, PA 17963 Phone: 570-345-2345 | |
Marshall-rismiller & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N Tulpehocken St, Pine Grove, PA 17963 Phone: 570-345-2345 Fax: 570-345-2350 |