Adult Geriatric Osteopathic Medical Care, Llc | |
2610 Century Ave Bristol PA 19007-1710 | |
(215) 584-0815 | |
Not Available |
Full Name | Adult Geriatric Osteopathic Medical Care, Llc |
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Speciality | Family Medicine |
Location | 2610 Century Ave, Bristol, Pennsylvania |
Authorized Official Name and Position | Amanda Trexler (BILLING MANAGER) |
Authorized Official Contact | 2673002407 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adult Geriatric Osteopathic Medical Care, Llc 2610 Century Ave Bristol PA 19007-1710 Ph: () - | Adult Geriatric Osteopathic Medical Care, Llc 2610 Century Ave Bristol PA 19007-1710 Ph: (215) 584-0815 |
NPI Number | 1518654474 |
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Provider Enumeration Date | 04/20/2023 |
Last Update Date | 04/20/2023 |
Medicare PECOS PAC ID | 4385003847 |
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Medicare Enrollment ID | O20230701000287 |
Identifier | Type | State | Issuer |
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1518654474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | David Everett Lewis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609218759 PECOS PAC ID: 9335427525 Enrollment ID: I20171218000244 |
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