In His Shadow Family Medicine Pc is a medicare enrolled primary clinic (Family Medicine) in Northumberland, Pennsylvania. The current practice location for In His Shadow Family Medicine Pc is 5 Gessner Way, Northumberland, Pennsylvania. For appointments, you can reach them via phone at
(570) 473-7017. The mailing address for In His Shadow Family Medicine Pc is 5 Gessner Way, Northumberland, Pennsylvania and phone number is (570) 473-7017.
In His Shadow Family Medicine Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1508061318. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(570) 473-7017.
Primary Care Clinic Profile
| Full Name | In His Shadow Family Medicine Pc |
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| Speciality | Family Medicine |
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| Location | 5 Gessner Way, Northumberland, Pennsylvania |
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| Authorized Official Name and Position | Jonathan Gessner (OWNER) |
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| Authorized Official Contact | 5704737017 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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In His Shadow Family Medicine Pc
5 Gessner Way
Northumberland
PA 17857-1535
Ph: (570) 473-7017 | In His Shadow Family Medicine Pc
5 Gessner Way
Northumberland
PA 17857-1535
Ph: (570) 473-7017 |
NPI Details:
| NPI Number | 1508061318 |
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| Provider Enumeration Date | 06/20/2007 |
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| Last Update Date | 11/15/2017 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6800982992 |
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| Medicare Enrollment ID | O20071022000053 |
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Medical Identifiers
Medical identifiers for In His Shadow Family Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508061318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
In His Shadow Family Medicine Pc acts as a billing entity for following providers:
| Provider Name | Jonathan Dale Gessner |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1023225968
PECOS PAC ID: 2769576941
Enrollment ID: I20070919000241 |
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