Jeffersonville Internal Medicine, P.c. is a medicare enrolled primary clinic (General Practice) in Jeffersonville, Pennsylvania. The current practice location for Jeffersonville Internal Medicine, P.c. is 1550 W Main St, Jeffersonville, Pennsylvania. For appointments, you can reach them via phone at
(610) 635-1712. The mailing address for Jeffersonville Internal Medicine, P.c. is 1550 W Main St, Jeffersonville, Pennsylvania and phone number is (610) 635-1712.
Jeffersonville Internal Medicine, P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1831131564. 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
(610) 635-1712.
Primary Care Clinic Profile
| Full Name | Jeffersonville Internal Medicine, P.c. |
|---|
| Speciality | General Practice |
|---|
| Location | 1550 W Main St, Jeffersonville, Pennsylvania |
|---|
| Authorized Official Name and Position | Michael Conrad Roman (PRESIDENT) |
|---|
| Authorized Official Contact | 6106351712 |
|---|
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeffersonville Internal Medicine, P.c.
1550 W Main St
Jeffersonville
PA 19403-3228
Ph: (610) 635-1712 | Jeffersonville Internal Medicine, P.c.
1550 W Main St
Jeffersonville
PA 19403-3228
Ph: (610) 635-1712 |
NPI Details:
| NPI Number | 1831131564 |
|---|
| Provider Enumeration Date | 06/10/2006 |
|---|
| Last Update Date | 08/22/2020 |
|---|
Medicare PECOS Information:
| Medicare PECOS PAC ID | 1355311218 |
|---|
| Medicare Enrollment ID | O20040728000714 |
|---|
Medical Identifiers
Medical identifiers for Jeffersonville Internal Medicine, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831131564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | OS009124L (Pennsylvania) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jeffersonville Internal Medicine, P.c. acts as a billing entity for following providers:
| Provider Name | Michael C Roman |
|---|
| Provider Type | Practitioner - Internal Medicine |
|---|
| Provider Identifiers | NPI Number: 1073576849
PECOS PAC ID: 9335119296
Enrollment ID: I20040729000071 |
|---|
Reviews and Comments