| Heim Staff Physicians, Inc | |
|
1011 Berk Rd Leesport PA 19533-8705 | |
| (610) 376-4841 | |
| Not Available |
| Full Name | Heim Staff Physicians, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1011 Berk Rd, Leesport, Pennsylvania |
| Authorized Official Name and Position | Robert Brackbill (PRESIDENT) |
| Authorized Official Contact | 6103789449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heim Staff Physicians, Inc 602 Wyomissing Blvd Wyomissing PA 19610-2268 Ph: (610) 678-1887 | Heim Staff Physicians, Inc 1011 Berk Rd Leesport PA 19533-8705 Ph: (610) 376-4841 |
| NPI Number | 1831217314 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 03/14/2017 |
| Medicare PECOS PAC ID | 7719963826 |
|---|---|
| Medicare Enrollment ID | O20040629000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831217314 | NPI | - | NPPES |
| 0009927090006 | Medicaid | PA | |
| 0009927090009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Alison M Mitch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376563171 PECOS PAC ID: 8123098936 Enrollment ID: I20040729000152 |
| Provider Name | Robert M Brackbill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861498636 PECOS PAC ID: 6204937667 Enrollment ID: I20070730000179 |
| Provider Name | John George Meharg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447364450 PECOS PAC ID: 9436241510 Enrollment ID: I20070821000178 |
| Provider Name | Elizabeth W Brackbill |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720118268 PECOS PAC ID: 6002074275 Enrollment ID: I20120220000129 |
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