Robert Ealey, | |
3701 Corriere Rd Ste 14, Palmer Township, PA 18045-7991 | |
(484) 591-7010 | |
Not Available |
Full Name | Robert Ealey |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3701 Corriere Rd Ste 14, Palmer Township, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205619152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP028543 (Pennsylvania) | Primary |
Entity Name | Family Care Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Schuylkill Health System Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
Mailing Address | Practice Location Address |
---|---|
Robert Ealey, 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Robert Ealey, 3701 Corriere Rd Ste 14, Palmer Township, PA 18045-7991 Ph: (484) 591-7010 |
Mrs. Amy Strain, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Corriere Rd Ste 10, Palmer Township, PA 18045 Phone: 484-591-7060 Fax: 484-591-7061 |