Personal Care Family Practice | |
1918 W Front St Berwick PA 18603-4230 | |
(570) 616-8594 | |
Not Available |
Full Name | Personal Care Family Practice |
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Speciality | Surgery |
Location | 1918 W Front St, Berwick, Pennsylvania |
Authorized Official Name and Position | Verona Roberts (OWNER) |
Authorized Official Contact | 5706168594 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Personal Care Family Practice 1918 W Front St Berwick PA 18603-4230 Ph: (570) 616-8594 | Personal Care Family Practice 1918 W Front St Berwick PA 18603-4230 Ph: (570) 616-8594 |
NPI Number | 1508583022 |
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Provider Enumeration Date | 10/25/2022 |
Last Update Date | 09/16/2024 |
Medicare PECOS PAC ID | 0840667689 |
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Medicare Enrollment ID | O20221107003438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508583022 | NPI | - | NPPES |
Provider Name | John Guerriero |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1952525958 PECOS PAC ID: 2668564105 Enrollment ID: I20070828000845 |
Provider Name | Verona D Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477986719 PECOS PAC ID: 3274751813 Enrollment ID: I20140825000227 |
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