| Momentum Services, Llc | |
|
50 Parkwood Dr Chambersburg PA 17201-4501 | |
| (717) 262-2183 | |
| (717) 262-2486 |
| Full Name | Momentum Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 Parkwood Dr, Chambersburg, Pennsylvania |
| Authorized Official Name and Position | Justin R. Goshorn (PARTNER) |
| Authorized Official Contact | 7172622183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Services, Llc 50 Parkwood Dr Chambersburg PA 17201-4501 Ph: (717) 262-2183 | Momentum Services, Llc 50 Parkwood Dr Chambersburg PA 17201-4501 Ph: (717) 262-2183 |
| NPI Number | 1831250364 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 2961502547 |
|---|---|
| Medicare Enrollment ID | O20070711000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831250364 | NPI | - | NPPES |
| 1017551490003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 327460 (Pennsylvania) | Primary |
| Provider Name | Steven M Cartun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053317602 PECOS PAC ID: 1153310008 Enrollment ID: I20040507000220 |
| Provider Name | Sarah N Gatumu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750489845 PECOS PAC ID: 1951303833 Enrollment ID: I20070206000197 |
| Provider Name | Sujana Reddy Kurri Yerram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497856561 PECOS PAC ID: 2466541388 Enrollment ID: I20071130000003 |
| Provider Name | Peter Moskel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013068329 PECOS PAC ID: 0244380475 Enrollment ID: I20090610000304 |
| Provider Name | Sadaf Sultana Ijaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609084664 PECOS PAC ID: 0345422978 Enrollment ID: I20110303000253 |
| Provider Name | Nikita J Eike |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104243096 PECOS PAC ID: 9133342561 Enrollment ID: I20140603001420 |
| Provider Name | Ali Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619918562 PECOS PAC ID: 9436161395 Enrollment ID: I20160623000739 |
| Provider Name | Keelin Ann Garvey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518005784 PECOS PAC ID: 6103187257 Enrollment ID: I20180306000843 |
| Provider Name | Mary A Pope |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073563144 PECOS PAC ID: 0244576288 Enrollment ID: I20190111000183 |
| Provider Name | Thomas Koste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992324016 PECOS PAC ID: 9234556226 Enrollment ID: I20200908000573 |
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