G L Pagenkopf Co Pa | |
14603 Ridge Road, West Springfield, PA 16443 | |
(814) 922-3800 | |
Not Available |
Full Name | G L Pagenkopf Co Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 14603 Ridge Road, West Springfield, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073610432 | NPI | - | NPPES |
0008625260001 | Medicaid | PA | |
0662096 | Other | PA | AETNA |
1500250 | Medicaid | PA | |
714797 | Other | PA | HIGHMARK |
104767 | Other | PA | HIGHMARK |
4644065 | Other | PA | AETNA |
153721 | Medicaid | PA | |
6667738 | Other | PA | CIGNA |
0492293 | Medicaid | OH | |
210837 | Other | PA | UPMC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC002428L (Pennsylvania) | Primary |
Provider Name | Gary Pagenkopf |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477547644 PECOS PAC ID: 8729268164 Enrollment ID: I20110202000432 |
Mailing Address | Practice Location Address |
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G L Pagenkopf Co Pa 181 Leith Walk Ext, Connaut, OH 44030 Ph: (440) 593-2078 | G L Pagenkopf Co Pa 14603 Ridge Road, West Springfield, PA 16443 Ph: (814) 922-3800 |
Gary Lee Pagenkopf, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14603 Ridge Rd, West Springfield, PA 16443 Phone: 814-922-3800 Fax: 814-922-7706 | |
Phoebe Katherine Kutterna, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4827 Crayton Rd, West Springfield, PA 16443 Phone: 814-273-0800 Fax: 814-474-5589 |