Horodnic Family Medicine, Llc | |
103 N Meadows Dr Ste 220 Wexford PA 15090-8369 | |
(724) 934-5040 | |
(724) 934-5051 |
Full Name | Horodnic Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 103 N Meadows Dr, Wexford, Pennsylvania |
Authorized Official Name and Position | Robert Paul Horodnic (OWNER) |
Authorized Official Contact | 7249345040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Horodnic Family Medicine, Llc 103 N Meadows Dr Ste 220 Wexford PA 15090-8369 Ph: (724) 934-5040 | Horodnic Family Medicine, Llc 103 N Meadows Dr Ste 220 Wexford PA 15090-8369 Ph: (724) 934-5040 |
NPI Number | 1346337508 |
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Provider Enumeration Date | 10/09/2006 |
Last Update Date | 01/10/2008 |
Medicare PECOS PAC ID | 7416955117 |
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Medicare Enrollment ID | O20061113000212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346337508 | NPI | - | NPPES |
0015470360014 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robert P Horodnic |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922014117 PECOS PAC ID: 4587565452 Enrollment ID: I20040115000294 |
Provider Name | Lauren J Kinder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932746443 PECOS PAC ID: 8325464886 Enrollment ID: I20200806002497 |
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