| Family Practice Of Renovo | |
|
924 Huron Ave Renovo PA 17764-1191 | |
| (570) 923-2700 | |
| (570) 923-0824 |
| Full Name | Family Practice Of Renovo |
|---|---|
| Speciality | Family Medicine |
| Location | 924 Huron Ave, Renovo, Pennsylvania |
| Authorized Official Name and Position | Frank L. Conly (PRESIDENT) |
| Authorized Official Contact | 5709232700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Renovo 924 Huron Ave Renovo PA 17764-1191 Ph: (570) 923-2700 | Family Practice Of Renovo 924 Huron Ave Renovo PA 17764-1191 Ph: (570) 923-2700 |
| NPI Number | 1164507927 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 8022047612 |
|---|---|
| Medicare Enrollment ID | O20050804000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164507927 | NPI | - | NPPES |
| 002954 | Other | PA | FIRST PRIORITY HEALTH |
| 000946170004 | Medicaid | PA | |
| 188455 | Other | PA | BLUE SHIELD |
| DD5539 | Other | PA | RAILROAD MEDICARE |
| 1204 | Other | PA | GEISINGER HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank L Conly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568546646 PECOS PAC ID: 4385673979 Enrollment ID: I20050804000158 |
Probst Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 924 Huron Ave, Renovo, PA 17764 Phone: 412-655-4362 | |
Bucktail Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Pine St, Renovo, PA 17764 Phone: 570-923-1019 Fax: 570-923-1650 |