| Gastroenterology Associates Ltd | |
|
3131 College Heights Blvd Allentown PA 18104-4812 | |
| (610) 439-8551 | |
| (610) 439-1435 |
| Full Name | Gastroenterology Associates Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 3131 College Heights Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Jacob Harry Pickle (PRESIDENT) |
| Authorized Official Contact | 6104398551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Ltd 3131 College Heights Blvd Allentown PA 18104-4812 Ph: (610) 439-8551 | Gastroenterology Associates Ltd 3131 College Heights Blvd Allentown PA 18104-4812 Ph: (610) 439-8551 |
| NPI Number | 1518959360 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 7416853288 |
|---|---|
| Medicare Enrollment ID | O20031211000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518959360 | NPI | - | NPPES |
| 1007340280001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Sarah L Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134211055 PECOS PAC ID: 8820064082 Enrollment ID: I20040908001412 |
| Provider Name | Sean Robert Lacey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841282241 PECOS PAC ID: 7315902368 Enrollment ID: I20041201000581 |
| Provider Name | Ralph H Scott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871569913 PECOS PAC ID: 2769499284 Enrollment ID: I20060308000570 |
| Provider Name | Charles Michael Brooks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750373155 PECOS PAC ID: 8325010069 Enrollment ID: I20100823000977 |
| Provider Name | Jacob Harry Pickle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174525117 PECOS PAC ID: 5496651275 Enrollment ID: I20100824001153 |
| Provider Name | Colleen M Gilhool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396166161 PECOS PAC ID: 2769608884 Enrollment ID: I20140726000016 |
| Provider Name | Diane M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114646130 PECOS PAC ID: 0446621767 Enrollment ID: I20230125001199 |
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