| Merakey Pennsylvania | |
|
663 Pocono Blvd Mount Pocono PA 18344-1018 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | Merakey Pennsylvania |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 663 Pocono Blvd, Mount Pocono, Pennsylvania |
| Authorized Official Name and Position | Norman E Tilson (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merakey Pennsylvania 4251 Crums Mill Rd Harrisburg PA 17112-2824 Ph: (215) 836-3131 | Merakey Pennsylvania 663 Pocono Blvd Mount Pocono PA 18344-1018 Ph: (215) 836-3131 |
| NPI Number | 1780830034 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 9032199856 |
|---|---|
| Medicare Enrollment ID | O20040722000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780830034 | NPI | - | NPPES |
| 1000017440452 | Medicaid | PA | |
| 1000017440572 | Medicaid | PA | |
| 1000017440551 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Richard Solga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477643450 PECOS PAC ID: 2062311806 Enrollment ID: I20031231000334 |
| Provider Name | Jyothi P Tadavarthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427199389 PECOS PAC ID: 6800781998 Enrollment ID: I20040218000149 |
| Provider Name | Dung P Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851320444 PECOS PAC ID: 1850374927 Enrollment ID: I20040610000054 |
| Provider Name | Mahmood A Usman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831262112 PECOS PAC ID: 2769458595 Enrollment ID: I20040902001331 |
| Provider Name | Nuchanart Venbrux |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467488213 PECOS PAC ID: 1557330792 Enrollment ID: I20040925000005 |
| Provider Name | Motaz Alhomsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154455798 PECOS PAC ID: 9436169208 Enrollment ID: I20060425000456 |
| Provider Name | Christian A Kcomt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003918087 PECOS PAC ID: 6204931546 Enrollment ID: I20070416000539 |
| Provider Name | Ann Mcdonald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134178619 PECOS PAC ID: 1355435074 Enrollment ID: I20070925000527 |
| Provider Name | Martha Ann Turnberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750315826 PECOS PAC ID: 7810070893 Enrollment ID: I20080214000089 |
| Provider Name | Muhammad Ikram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477731180 PECOS PAC ID: 6103996566 Enrollment ID: I20080528000627 |
| Provider Name | Danielle D Sholcosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952633489 PECOS PAC ID: 8921259151 Enrollment ID: I20121115000253 |
| Provider Name | Brian K Long |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538246814 PECOS PAC ID: 8123033057 Enrollment ID: I20130612000134 |
| Provider Name | Marie A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093706780 PECOS PAC ID: 3476588807 Enrollment ID: I20150122000668 |
| Provider Name | Faraz A Tyeb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639458417 PECOS PAC ID: 5395057640 Enrollment ID: I20150630000994 |
| Provider Name | Eugene L Jennings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720296858 PECOS PAC ID: 6901198308 Enrollment ID: I20160705001707 |
| Provider Name | Thomas L Vanaken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831172139 PECOS PAC ID: 8325207236 Enrollment ID: I20180403002663 |
| Provider Name | Rebecca Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275205973 PECOS PAC ID: 1658750484 Enrollment ID: I20220624000113 |
| Provider Name | Joseph C Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467984211 PECOS PAC ID: 8022355684 Enrollment ID: I20230720002572 |
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