Evangelical-geisinger Health, Llc | |
1 Dent Dr Lewisburg PA 17837-2005 | |
(570) 577-1401 | |
(570) 577-3570 |
Full Name | Evangelical-geisinger Health, Llc |
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Speciality | Clinic/Center |
Location | 1 Dent Dr, Lewisburg, Pennsylvania |
Authorized Official Name and Position | Stephen M Massini (CFO) |
Authorized Official Contact | 5702146181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evangelical-geisinger Health, Llc 100 N Academy Ave Danville PA 17822-4903 Ph: (570) 271-6211 | Evangelical-geisinger Health, Llc 1 Dent Dr Lewisburg PA 17837-2005 Ph: (570) 577-1401 |
NPI Number | 1154766251 |
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Provider Enumeration Date | 05/02/2013 |
Last Update Date | 03/19/2021 |
Medicare PECOS PAC ID | 5991932295 |
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Medicare Enrollment ID | O20131212000116 |
Identifier | Type | State | Issuer |
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1154766251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Stephen Alexander Lewis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548203284 PECOS PAC ID: 3971402017 Enrollment ID: I20040107000674 |
Provider Name | John R Tomedi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205884558 PECOS PAC ID: 1456333863 Enrollment ID: I20040601000894 |
Provider Name | Roseline R Reed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134240047 PECOS PAC ID: 4880821032 Enrollment ID: I20131213000006 |
Provider Name | Angela L Alexander |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164172870 PECOS PAC ID: 6204215437 Enrollment ID: I20220619000007 |
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