| Snp Direct Paths Llc | |
|
206 Kresge Farm Rd Box 102 Effort PA 18330-8137 | |
| (954) 249-8694 | |
| (570) 805-2218 |
| Full Name | Snp Direct Paths Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 206 Kresge Farm Rd, Effort, Pennsylvania |
| Authorized Official Name and Position | Sandra Pascal (PHYSICIAN OWNER/PRESIDENT) |
| Authorized Official Contact | 9542498694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Snp Direct Paths Llc 206 Kresge Farm Rd Box102 Effort PA 18330-8137 Ph: (954) 249-8694 | Snp Direct Paths Llc 206 Kresge Farm Rd Box 102 Effort PA 18330-8137 Ph: (954) 249-8694 |
| NPI Number | 1336687201 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/13/2017 |
| Medicare PECOS PAC ID | 4486939030 |
|---|---|
| Medicare Enrollment ID | O20170321002516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336687201 | NPI | - | NPPES |
| 1025705320001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS-015101 (Pennsylvania) | Primary |
| Provider Name | Sandra N Pascal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205097706 PECOS PAC ID: 1254495260 Enrollment ID: I20110307000938 |
| Provider Name | Herline Raphael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326584046 PECOS PAC ID: 4385911080 Enrollment ID: I20170601000141 |