Jay E Endres Mdpc | |
12 Elm St Warren PA 16365-2808 | |
(814) 723-3520 | |
(814) 726-2988 |
Full Name | Jay E Endres Mdpc |
---|---|
Speciality | Family Medicine |
Location | 12 Elm St, Warren, Pennsylvania |
Authorized Official Name and Position | Nancy J Endres (CORPORATE TREASURER) |
Authorized Official Contact | 8147233520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jay E Endres Mdpc 12 Elm St Warren PA 16365-2808 Ph: (814) 723-3520 | Jay E Endres Mdpc 12 Elm St Warren PA 16365-2808 Ph: (814) 723-3520 |
NPI Number | 1780875757 |
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Provider Enumeration Date | 08/06/2007 |
Last Update Date | 08/06/2007 |
Medicare PECOS PAC ID | 1052359296 |
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Medicare Enrollment ID | O20050419001043 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780875757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD039470L (Pennsylvania) | Primary |
Provider Name | Deborah Cann Bialas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790717551 PECOS PAC ID: 0244272755 Enrollment ID: I20050525000405 |
Provider Name | Jay E Endres |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073581948 PECOS PAC ID: 8628086964 Enrollment ID: I20060329000323 |
Provider Name | Jill M Gorton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255531489 PECOS PAC ID: 1951494483 Enrollment ID: I20070829000633 |
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Ronald W Simonsen Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Bird Ave, Warren, PA 16365 Phone: 814-723-6858 | |
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