Berks Diabetes Management | |
1030 Reed Ave Suite 116 Wyomissing PA 19610-2039 | |
(610) 373-7743 | |
(610) 378-9337 |
Full Name | Berks Diabetes Management |
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Speciality | Nurse Practitioner |
Location | 1030 Reed Ave, Wyomissing, Pennsylvania |
Authorized Official Name and Position | Ralph Michael Cincinnati (NURSE PRACTITIONER) |
Authorized Official Contact | 6109279815 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Berks Diabetes Management 1030 Reed Ave Suite 116 Wyomissing PA 19610-2039 Ph: (610) 373-7743 | Berks Diabetes Management 1030 Reed Ave Suite 116 Wyomissing PA 19610-2039 Ph: (610) 373-7743 |
NPI Number | 1619345436 |
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Provider Enumeration Date | 09/10/2015 |
Last Update Date | 09/10/2015 |
Medicare PECOS PAC ID | 6608186283 |
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Medicare Enrollment ID | O20151111001025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619345436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Pennsylvania) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | SP007277 (Pennsylvania) | Primary |
Provider Name | Ralph M Cincinnati |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174580716 PECOS PAC ID: 7719888916 Enrollment ID: I20040120000566 |
Provider Name | Nicole Myers Strobel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477664241 PECOS PAC ID: 5092600551 Enrollment ID: I20040216000535 |
Provider Name | Nicole Mccollum Cincinnati |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952367237 PECOS PAC ID: 7810984002 Enrollment ID: I20040429000137 |
Provider Name | Coleen Hannigan Schmidley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194808774 PECOS PAC ID: 4284687179 Enrollment ID: I20050303000212 |
Provider Name | David C Deibert |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1528119955 PECOS PAC ID: 1456433036 Enrollment ID: I20080205000317 |
Provider Name | Ravisha Bai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598162265 PECOS PAC ID: 6103186697 Enrollment ID: I20180131003168 |
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