| Ashland Medical Group Pc | |
|
1704 Jefferson Ave Lewisburg PA 17837-1632 | |
| (610) 709-4173 | |
| Not Available |
| Full Name | Ashland Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1704 Jefferson Ave, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Jason Clarity (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6107094173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashland Medical Group Pc Po Box 175 Northumberland PA 17857-0175 Ph: (570) 988-0925 | Ashland Medical Group Pc 1704 Jefferson Ave Lewisburg PA 17837-1632 Ph: (610) 709-4173 |
| NPI Number | 1013332022 |
|---|---|
| Provider Enumeration Date | 02/27/2014 |
| Last Update Date | 02/27/2014 |
| Medicare PECOS PAC ID | 6204052913 |
|---|---|
| Medicare Enrollment ID | O20140731002661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013332022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason J Clarity |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295998169 PECOS PAC ID: 9537338835 Enrollment ID: I20110802000678 |
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