| Ignatius Family Medicine & Wellness Ltd | |
|
90 Beaver Dr Ste 121d Du Bois PA 15801-2441 | |
| (814) 503-4837 | |
| Not Available |
| Full Name | Ignatius Family Medicine & Wellness Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 90 Beaver Dr Ste 121d, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Nicole Ignatius (DO) |
| Authorized Official Contact | 8145034837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignatius Family Medicine & Wellness Ltd 90 Beaver Dr Ste 121d Du Bois PA 15801-2441 Ph: () - | Ignatius Family Medicine & Wellness Ltd 90 Beaver Dr Ste 121d Du Bois PA 15801-2441 Ph: (814) 503-4837 |
| NPI Number | 1326787409 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 12/21/2023 |
| Medicare PECOS PAC ID | 0244606440 |
|---|---|
| Medicare Enrollment ID | O20221012003534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326787409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicole D Ignatius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114227683 PECOS PAC ID: 4789837444 Enrollment ID: I20130104000311 |
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