| Geisinger-hm Joint Venture, Llc | |
|
10 Choate Cir Montoursville PA 17754-9791 | |
| (570) 368-5566 | |
| (570) 368-5564 |
| Full Name | Geisinger-hm Joint Venture, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Choate Cir, Montoursville, Pennsylvania |
| Authorized Official Name and Position | Cindy Mull (DIRECOTR) |
| Authorized Official Contact | 5702716144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geisinger-hm Joint Venture, Llc 100 N Academy Ave Danville PA 17822-4903 Ph: (570) 271-6144 | Geisinger-hm Joint Venture, Llc 10 Choate Cir Montoursville PA 17754-9791 Ph: (570) 368-5566 |
| NPI Number | 1396207015 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 12/24/2019 |
| Medicare PECOS PAC ID | 1355676370 |
|---|---|
| Medicare Enrollment ID | O20200211001738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396207015 | NPI | - | NPPES |
| Provider Name | Adam Hecht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619957834 PECOS PAC ID: 4587695085 Enrollment ID: I20050824000873 |
| Provider Name | Jane B Gauriloff-rothenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154377117 PECOS PAC ID: 1153324207 Enrollment ID: I20100610000166 |
| Provider Name | Jeffrey Ortiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609220813 PECOS PAC ID: 2163824848 Enrollment ID: I20230330001769 |
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