| Family Services Of Nw Pa | |
|
5100 Peach St Erie PA 16509-2482 | |
| (814) 866-4500 | |
| (814) 864-2677 |
| Full Name | Family Services Of Nw Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5100 Peach St, Erie, Pennsylvania |
| Authorized Official Name and Position | Steven Gresh (CFO) |
| Authorized Official Contact | 8148664504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services Of Nw Pa 5100 Peach St Erie PA 16509-2482 Ph: (814) 866-4500 | Family Services Of Nw Pa 5100 Peach St Erie PA 16509-2482 Ph: (814) 866-4500 |
| NPI Number | 1265482863 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Medicare PECOS PAC ID | 6608847066 |
|---|---|
| Medicare Enrollment ID | O20040802000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265482863 | NPI | - | NPPES |
| 1007436350006 | Medicaid | PA | |
| BLUE SHIELD | Other | PA | 631888 |
| Provider Name | Lihui Tang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447279955 PECOS PAC ID: 7315902004 Enrollment ID: I20041122000903 |
| Provider Name | Robert Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336110279 PECOS PAC ID: 9335225366 Enrollment ID: I20080331000371 |
| Provider Name | Timothy Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326569229 PECOS PAC ID: 6901289404 Enrollment ID: I20220816002892 |
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