| Elizabeth A. Gernhardt Inc. | |
|
1732 Wyoming Ave Forty Fort PA 18704-4340 | |
| (570) 331-9134 | |
| (570) 331-9171 |
| Full Name | Elizabeth A. Gernhardt Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1732 Wyoming Ave, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Gernhardt (CEO) |
| Authorized Official Contact | 5702085536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A. Gernhardt Inc. Po Box 1048 Forty Fort PA 18704-0048 Ph: (570) 313-9134 | Elizabeth A. Gernhardt Inc. 1732 Wyoming Ave Forty Fort PA 18704-4340 Ph: (570) 331-9134 |
| NPI Number | 1558482513 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 7810025822 |
|---|---|
| Medicare Enrollment ID | O20100512001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558482513 | NPI | - | NPPES |
| 0018048210004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS009873L (Pennsylvania) | Primary |
| Provider Name | Elizabeth A Gernhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972580405 PECOS PAC ID: 4082742978 Enrollment ID: I20100513001033 |
Roy W Gernhardt Iii Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-6888 Fax: 570-288-6880 | |
Walters Family Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1174 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-9444 Fax: 570-331-7543 | |
Robert Engel, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Welles St, Suite 201, Forty Fort, PA 18704 Phone: 570-283-9399 Fax: 570-283-9457 | |
Joseph P. Chollak, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-287-7704 | |
John P Brady Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Rutter Ave, Forty Fort, PA 18704 Phone: 570-287-5588 Fax: 570-287-3799 | |
William H Boyle, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1732 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-287-6930 |