Jsecpa is a
Emergency Medicine based in Jersey Shore, Pennsylvania. Jsecpa is licensed to practice in Pennsylvania (license number 101401) and their current practice location is
1020 Thompson St, Jersey Shore, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(570) 398-0100.
NPI number for Jsecpa is 1306989967 and their current mailing address is 1020 Thompson St, Jersey Shore, Pennsylvania. Jsecpa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1306989967.
Healthcare Provider's Profile
| Full Name | Jsecpa |
|---|
| Type | Facility |
|---|
| Speciality | Emergency Medicine |
|---|
| Location | 1020 Thompson St, Jersey Shore, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306989967
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 10/27/2007
Medical Identifiers
Medical identifiers for Jsecpa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306989967 | NPI | - | NPPES |
| 222070 | Other | PA | RADIOLOGY FPH |
| 391300 | Other | PA | WORKERS COMP |
| 1007703560004 | Medicaid | PA | |
| 230275 | Other | PA | HA RADIOLOGY |
| 3634 | Other | PA | GHP |
| C10719 | Other | PA | RR MEDICARE DR GROUP |
| 116482 | Other | PA | HA ER |
| 139690 | Other | PA | HA ANESTHSIA |
| 222069 | Other | PA | ER FPH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 101401 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | 101401 (Pennsylvania) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 101401 (Pennsylvania) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 101401 (Pennsylvania) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 101401 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 101401 (Pennsylvania) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jsecpa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jsecpa
1020 Thompson St,
Jersey Shore, PA 17740-1729
Ph: (570) 398-0100 | Jsecpa
1020 Thompson St,
Jersey Shore, PA 17740-1729
Ph: (570) 398-0100 |
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