| Bethlehem Primary Care Providers Pc | |
|
3445 High Point Blvd Ste 202 Bethlehem PA 18017-7812 | |
| (610) 691-2282 | |
| (610) 691-2410 |
| Full Name | Bethlehem Primary Care Providers Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3445 High Point Blvd Ste 202, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | William Jude Gould (PRESIDENT) |
| Authorized Official Contact | 6106912282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethlehem Primary Care Providers Pc 3445 High Point Blvd Ste 202 Bethlehem PA 18017-7812 Ph: (610) 691-2282 | Bethlehem Primary Care Providers Pc 3445 High Point Blvd Ste 202 Bethlehem PA 18017-7812 Ph: (610) 691-2282 |
| NPI Number | 1558415877 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 04/07/2019 |
| Medicare PECOS PAC ID | 4082689849 |
|---|---|
| Medicare Enrollment ID | O20040826000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558415877 | NPI | - | NPPES |
| 129924 | Other | PA | HIGHMARK |
| 02348900 | Other | PA | CAPITAL BLUE CROSS |
| 2685643 | Other | PA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS010000-L (Pennsylvania) | Primary |
| Provider Name | William Jude Gould |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568484004 PECOS PAC ID: 8123036092 Enrollment ID: I20060404000354 |
| Provider Name | Deborah Betz-harleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740218957 PECOS PAC ID: 6305859752 Enrollment ID: I20060801000313 |
| Provider Name | Valerie L Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396926804 PECOS PAC ID: 6406945823 Enrollment ID: I20071207000383 |
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