| Carlisle Digestive Disease Associates, Ltd. | |
|
241 Alexander Spring Rd Carlisle PA 17015-6953 | |
| (717) 245-2228 | |
| (717) 245-0806 |
| Full Name | Carlisle Digestive Disease Associates, Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 241 Alexander Spring Rd, Carlisle, Pennsylvania |
| Authorized Official Name and Position | Robert Levy (PRESIDENT) |
| Authorized Official Contact | 7172452228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlisle Digestive Disease Associates, Ltd. 241 Alexander Spring Rd Carlisle PA 17015-6953 Ph: (717) 245-2228 | Carlisle Digestive Disease Associates, Ltd. 241 Alexander Spring Rd Carlisle PA 17015-6953 Ph: (717) 245-2228 |
| NPI Number | 1164523809 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/29/2019 |
| Medicare PECOS PAC ID | 9537121223 |
|---|---|
| Medicare Enrollment ID | O20041104000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164523809 | NPI | - | NPPES |
| CF6302 | Other | PA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Henry J Venbrux |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851389894 PECOS PAC ID: 2567483027 Enrollment ID: I20051212000707 |
| Provider Name | Jonathan James Verrecchio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144320045 PECOS PAC ID: 4486661766 Enrollment ID: I20060316000082 |
| Provider Name | Junyi Lei |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689606659 PECOS PAC ID: 9032207683 Enrollment ID: I20071114000462 |
| Provider Name | Lisa A Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164606877 PECOS PAC ID: 6608958020 Enrollment ID: I20080124000264 |
| Provider Name | Patrick J Mcdevitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245443860 PECOS PAC ID: 6800978123 Enrollment ID: I20080125000309 |
| Provider Name | Atul Bhardwaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477746170 PECOS PAC ID: 1254404148 Enrollment ID: I20080725000396 |
| Provider Name | Robert B Levy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760582654 PECOS PAC ID: 4082678164 Enrollment ID: I20110207000698 |
| Provider Name | Tareq Yasin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013118231 PECOS PAC ID: 9638318009 Enrollment ID: I20130614000217 |
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