St Josephs Internal Medicine Pc is a medicare enrolled primary clinic (Internal Medicine) in Mt Carmel, Pennsylvania. The current practice location for St Josephs Internal Medicine Pc is 300 S Hickory St, Mt Carmel, Pennsylvania. For appointments, you can reach them via phone at
(570) 339-2160. The mailing address for St Josephs Internal Medicine Pc is 300 S Hickory St, Mt Carmel, Pennsylvania and phone number is (570) 339-2160.
St Josephs Internal Medicine Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1629057039. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(570) 339-2160.
Primary Care Clinic Profile
| Full Name | St Josephs Internal Medicine Pc |
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| Speciality | Internal Medicine |
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| Location | 300 S Hickory St, Mt Carmel, Pennsylvania |
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| Authorized Official Name and Position | Traci Gurba (OFFICE MANAGER) |
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| Authorized Official Contact | 5703392160 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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St Josephs Internal Medicine Pc
300 S Hickory St
Mt Carmel
PA 17851
Ph: (570) 339-2160 | St Josephs Internal Medicine Pc
300 S Hickory St
Mt Carmel
PA 17851
Ph: (570) 339-2160 |
NPI Details:
| NPI Number | 1629057039 |
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| Provider Enumeration Date | 01/13/2006 |
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| Last Update Date | 11/08/2011 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5597752923 |
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| Medicare Enrollment ID | O20040428001088 |
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Medical Identifiers
Medical identifiers for St Josephs Internal Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629057039 | NPI | - | NPPES |
| MA01054599 | Medicaid | PA | |
| DA2400 | Other | PA | RAILROAD MEDICARE |
| 02325000 | Other | PA | BLUE CROSS |
| 402980 | Other | PA | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
St Josephs Internal Medicine Pc acts as a billing entity for following providers:
| Provider Name | Jeffrey Greco |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1770667388
PECOS PAC ID: 0446247738
Enrollment ID: I20110304000278 |
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