Internal Medicine Of Berwick Pc Inc | |
751 E 16th St Suite300 Berwick PA 18603-2321 | |
(570) 752-5056 | |
Not Available |
Full Name | Internal Medicine Of Berwick Pc Inc |
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Speciality | Internal Medicine |
Location | 751 E 16th St, Berwick, Pennsylvania |
Authorized Official Name and Position | Pavel Pribula (OWNER) |
Authorized Official Contact | 5707525056 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Of Berwick Pc Inc 751 E 16th St Suite300 Berwick PA 18603-2321 Ph: (570) 752-5056 | Internal Medicine Of Berwick Pc Inc 751 E 16th St Suite300 Berwick PA 18603-2321 Ph: (570) 752-5056 |
NPI Number | 1265474670 |
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Provider Enumeration Date | 06/11/2006 |
Last Update Date | 08/12/2013 |
Medicare PECOS PAC ID | 3870574080 |
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Medicare Enrollment ID | O20040525000865 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265474670 | NPI | - | NPPES |
0075190570002 | Medicaid | PA | |
02305400 | Other | PA | CAPITAL BLUE CROSS |
1533376 | Other | PA | GATEWAY |
1348169 | Other | PA | HIGHMARK BLUE SHIELD |
221084 | Other | PA | FIRST PRIORITY HEALTH |
010093500 | Other | PA | BLACK LUNG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD067594L (Pennsylvania) | Primary |
Provider Name | Pavel Pribula |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043210628 PECOS PAC ID: 8325940075 Enrollment ID: I20040122001087 |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: W 2200 Front St, Berwick, PA 18603 Phone: 570-759-1228 | |
Berwick Medical Professionals Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 E 16th St, Berwick, PA 18603 Phone: 570-759-5555 Fax: 570-759-5553 | |
Osman Medical Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Fowler Ave Ste 203, Berwick, PA 18603 Phone: 570-752-4516 Fax: 570-752-4518 | |
Berwick Hospital Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E 16th St, Berwick, PA 18603 Phone: 570-759-5000 | |
Gaudenzia Berwick Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Chestnut St, Suite 2, Berwick, PA 18603 Phone: 570-752-2985 Fax: 570-752-2987 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Briar Creek Plz, Berwick, PA 18603 Phone: 570-802-5590 Fax: 570-802-5591 |