| Cove Family Practice, Inc. | |
|
111 Nason Dr Ste 101 Roaring Spring PA 16673-1212 | |
| (814) 224-5132 | |
| (814) 224-2903 |
| Full Name | Cove Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Nason Dr, Roaring Spring, Pennsylvania |
| Authorized Official Name and Position | Darron B Locke (OWNER) |
| Authorized Official Contact | 8142245132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cove Family Practice, Inc. 111 Nason Dr Ste 101 Roaring Spring PA 16673-1212 Ph: (814) 224-5132 | Cove Family Practice, Inc. 111 Nason Dr Ste 101 Roaring Spring PA 16673-1212 Ph: (814) 224-5132 |
| NPI Number | 1023081429 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 12/21/2016 |
| Medicare PECOS PAC ID | 6406894906 |
|---|---|
| Medicare Enrollment ID | O20050425000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023081429 | NPI | - | NPPES |
| 0015716860011 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer A Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811021124 PECOS PAC ID: 5395829550 Enrollment ID: I20080226000796 |
| Provider Name | Darron Locke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073507943 PECOS PAC ID: 3678586369 Enrollment ID: I20100413000058 |
| Provider Name | Landon Paul Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376839712 PECOS PAC ID: 1355510454 Enrollment ID: I20110805000655 |
| Provider Name | Lynn M Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386930519 PECOS PAC ID: 3678705118 Enrollment ID: I20140903000021 |
| Provider Name | Dawn Renee Landeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720505795 PECOS PAC ID: 6002181609 Enrollment ID: I20171009000075 |
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