Elkins Medical Practice Pllc | |
4 Hartshorn Rd Clearfield PA 16830-9618 | |
(866) 813-9859 | |
Not Available |
Full Name | Elkins Medical Practice Pllc |
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Speciality | Family Medicine |
Location | 4 Hartshorn Rd, Clearfield, Pennsylvania |
Authorized Official Name and Position | Carol G Elkins (OWNER) |
Authorized Official Contact | 8668139859 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elkins Medical Practice Pllc 4 Hartshorn Rd Clearfield PA 16830-9618 Ph: (866) 813-9859 | Elkins Medical Practice Pllc 4 Hartshorn Rd Clearfield PA 16830-9618 Ph: (866) 813-9859 |
NPI Number | 1396168688 |
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Provider Enumeration Date | 01/23/2014 |
Last Update Date | 01/23/2014 |
Medicare PECOS PAC ID | 5294966461 |
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Medicare Enrollment ID | O20140401001788 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396168688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD036923E (Pennsylvania) | Primary |
Provider Name | Carol Gay Elkins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174538821 PECOS PAC ID: 6406991066 Enrollment ID: I20100308000013 |
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