Constanta T Ebro-prokesh, DO | |
1137 W Penn Ave, Womelsdorf, PA 19567-9770 | |
(610) 589-2555 | |
(610) 589-4940 |
Full Name | Constanta T Ebro-prokesh |
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Gender | Female |
Speciality | Family Medicine |
Location | 1137 W Penn Ave, Womelsdorf, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417272014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OSO14851 (Pennsylvania) | Primary |
Entity Name | Tower Health Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
Mailing Address | Practice Location Address |
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Constanta T Ebro-prokesh, DO Po Box 13579, Reading, PA 19612-3579 Ph: () - | Constanta T Ebro-prokesh, DO 1137 W Penn Ave, Womelsdorf, PA 19567-9770 Ph: (610) 589-2555 |
Scott A Dietrich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1137 W Penn Ave, Womelsdorf, PA 19567 Phone: 610-589-2555 Fax: 610-589-4940 | |
Albert D Roke, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1137 W Penn Ave, Womelsdorf, PA 19567 Phone: 610-589-2555 Fax: 610-589-4940 | |
Elena O Mccabe, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1137 W Penn Ave, Womelsdorf, PA 19567 Phone: 610-589-2555 Fax: 610-589-4940 |