| Bradford Regional Medical Services | |
|
116 Interstate Pkwy Ste 32 Bradford PA 16701-1036 | |
| (143) 681-0208 | |
| (814) 368-1024 |
| Full Name | Bradford Regional Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 116 Interstate Pkwy Ste 32, Bradford, Pennsylvania |
| Authorized Official Name and Position | Jill M Owens (PRESIDENT) |
| Authorized Official Contact | 7163756170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Regional Medical Services Po Box 3007 Warren PA 16365-1107 Ph: (716) 799-1462 | Bradford Regional Medical Services 116 Interstate Pkwy Ste 32 Bradford PA 16701-1036 Ph: (143) 681-0208 |
| NPI Number | 1144273814 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 05/17/2022 |
| Medicare PECOS PAC ID | 8921998535 |
|---|---|
| Medicare Enrollment ID | O20190402001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144273814 | NPI | - | NPPES |
| 06301573 | Medicaid | NY | |
| 100745658 | Medicaid | PA |
| Provider Name | Aubrey Kotey Ashie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598146987 PECOS PAC ID: 3779884762 Enrollment ID: I20210819000121 |
| Provider Name | Steven Ives Pancio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962840082 PECOS PAC ID: 8426298530 Enrollment ID: I20220211000199 |
| Provider Name | Eduardo Javier Morales-vicente |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861828444 PECOS PAC ID: 8123400207 Enrollment ID: I20220805001960 |
| Provider Name | Kellie J Krzos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548900897 PECOS PAC ID: 1355727587 Enrollment ID: I20220926002123 |
| Provider Name | Luis Carlos Gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871519637 PECOS PAC ID: 5294811444 Enrollment ID: I20220926002965 |
The Guidance Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 Fax: 814-817-2113 | |
Irwin Medical Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Chestnut Street Ext Ste A, Bradford, PA 16701 Phone: 814-817-2870 Fax: 814-368-8041 | |
The Guidance Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 | |
Bradford Family Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 N 3rd St, Bradford, PA 16701 Phone: 814-362-6962 Fax: 814-362-4956 |