| Ronald A. Krisch Md | |
|
1251 S Cedar Crest Blvd Ste 208a Allentown PA 18103-6205 | |
| (610) 432-5444 | |
| (610) 432-5440 |
| Full Name | Ronald A. Krisch Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1251 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Ronald Avery Krisch (PRESIDENT) |
| Authorized Official Contact | 6104325444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald A. Krisch Md 1251 S Cedar Crest Blvd Ste 208a Allentown PA 18103-6205 Ph: (610) 432-5444 | Ronald A. Krisch Md 1251 S Cedar Crest Blvd Ste 208a Allentown PA 18103-6205 Ph: (610) 432-5444 |
| NPI Number | 1215922265 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 07/25/2014 |
| Medicare PECOS PAC ID | 8628156163 |
|---|---|
| Medicare Enrollment ID | O20080423000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215922265 | NPI | - | NPPES |
| 02352100 | Other | PA | CAPITAL BLUE CROSS |
| 07823136 | Medicaid | PA | |
| KR131595 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD022249E (Pennsylvania) | Primary |
| Provider Name | Ronald A Krisch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437289196 PECOS PAC ID: 6901984434 Enrollment ID: I20080423000496 |
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