Berks Genesis Family Medicine Pc | |
1555 Schuylkill Ave Reading PA 19601-1312 | |
(610) 378-0107 | |
(610) 378-7984 |
Full Name | Berks Genesis Family Medicine Pc |
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Speciality | Family Medicine |
Location | 1555 Schuylkill Ave, Reading, Pennsylvania |
Authorized Official Name and Position | Margaret G Flores-posadas (PRESIDENT) |
Authorized Official Contact | 6103780107 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Berks Genesis Family Medicine Pc 1555 Schuylkill Ave Reading PA 19601-1312 Ph: (610) 378-0107 | Berks Genesis Family Medicine Pc 1555 Schuylkill Ave Reading PA 19601-1312 Ph: (610) 378-0107 |
NPI Number | 1811989304 |
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Provider Enumeration Date | 08/19/2005 |
Last Update Date | 02/13/2015 |
Medicare PECOS PAC ID | 9830138718 |
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Medicare Enrollment ID | O20050429000414 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811989304 | NPI | - | NPPES |
167736 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Margaret Gutierrez Flores-posadas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457437931 PECOS PAC ID: 0345295994 Enrollment ID: I20050316000380 |
Provider Name | Katrina M De Vries |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477249316 PECOS PAC ID: 1759749369 Enrollment ID: I20230614000529 |
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