| Bedford Family Wellness Llc | |
|
5157 Business 220 Ste 1 Bedford PA 15522-7770 | |
| (814) 623-8414 | |
| (814) 623-6668 |
| Full Name | Bedford Family Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5157 Business 220 Ste 1, Bedford, Pennsylvania |
| Authorized Official Name and Position | Jennifer Fitzsimmons (OWNER) |
| Authorized Official Contact | 8146238414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Family Wellness Llc 5157 Business 220 Ste 1 Bedford PA 15522-7770 Ph: (814) 623-8414 | Bedford Family Wellness Llc 5157 Business 220 Ste 1 Bedford PA 15522-7770 Ph: (814) 623-8414 |
| NPI Number | 1306328174 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 06/02/2023 |
| Medicare PECOS PAC ID | 5799196812 |
|---|---|
| Medicare Enrollment ID | O20201123000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306328174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jennifer B Woodring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174864649 PECOS PAC ID: 9830334457 Enrollment ID: I20130401000393 |
| Provider Name | Jennifer Eckenrode Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730517111 PECOS PAC ID: 3577796747 Enrollment ID: I20190206003234 |
| Provider Name | Beverly Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023411683 PECOS PAC ID: 7911226535 Enrollment ID: I20230602000017 |
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