| Lebanon Internal Medicine Associates, P.c. | |
|
755 Norman Dr Lebanon PA 17042-7497 | |
| (717) 273-6706 | |
| (717) 273-1435 |
| Full Name | Lebanon Internal Medicine Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 755 Norman Dr, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Thomas V Kantor (GROUP PRESIDENT) |
| Authorized Official Contact | 7172736706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Internal Medicine Associates, P.c. 755 Norman Dr Lebanon PA 17042-7497 Ph: (717) 273-6706 | Lebanon Internal Medicine Associates, P.c. 755 Norman Dr Lebanon PA 17042-7497 Ph: (717) 273-6706 |
| NPI Number | 1700878261 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 02/03/2010 |
| Medicare PECOS PAC ID | 1951383553 |
|---|---|
| Medicare Enrollment ID | O20040607000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700878261 | NPI | - | NPPES |
| 1520937 | Other | PA | GATEWAY - SPECIALIST |
| 104037 | Other | PA | HIGHMARK BLUE SHIELD |
| 02377100 | Other | PA | CAPITAL BLUE CROSS |
| 1007532100010 | Medicaid | PA | |
| 1511102 | Other | PA | GATEWAY - PRIMARY CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcia Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386636892 PECOS PAC ID: 7618948233 Enrollment ID: I20040805000375 |
| Provider Name | Francis J Gallagher |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942360136 PECOS PAC ID: 9234108382 Enrollment ID: I20040927000538 |
| Provider Name | Allen J Samuels |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811033764 PECOS PAC ID: 2264484013 Enrollment ID: I20060328000696 |
| Provider Name | Najin Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316907769 PECOS PAC ID: 1759342652 Enrollment ID: I20060511000214 |
| Provider Name | Ernesto Gutierrez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255330718 PECOS PAC ID: 6406886746 Enrollment ID: I20060620000140 |
| Provider Name | Ronnie A Mohammed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669463774 PECOS PAC ID: 7618905381 Enrollment ID: I20080903000054 |
| Provider Name | Sergei Joffy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568437127 PECOS PAC ID: 6406880590 Enrollment ID: I20090708000502 |
| Provider Name | Thomas V Kantor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962494401 PECOS PAC ID: 6204875917 Enrollment ID: I20100506000063 |
| Provider Name | Anne B Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639161185 PECOS PAC ID: 3476613936 Enrollment ID: I20100506000091 |
| Provider Name | Tamara J Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285626739 PECOS PAC ID: 0840350302 Enrollment ID: I20100506000221 |
| Provider Name | Edwin M Kase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619969144 PECOS PAC ID: 4385704840 Enrollment ID: I20100514000455 |
| Provider Name | David C Trostle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134112337 PECOS PAC ID: 9830259399 Enrollment ID: I20101011000319 |
| Provider Name | Stuart Joseph Hartman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407149495 PECOS PAC ID: 2062659170 Enrollment ID: I20140801000837 |
| Provider Name | Michael Charles Lescallette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780618181 PECOS PAC ID: 4284957606 Enrollment ID: I20141216000614 |
| Provider Name | Adeel Ahmed Siddiqui |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245563436 PECOS PAC ID: 3274773668 Enrollment ID: I20151103001424 |
| Provider Name | Colleen A Okonieski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457725061 PECOS PAC ID: 5092016048 Enrollment ID: I20151216000286 |
| Provider Name | Mirmohd Hossain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992990162 PECOS PAC ID: 1658467394 Enrollment ID: I20160909000470 |
| Provider Name | Maria L Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467974139 PECOS PAC ID: 0042590416 Enrollment ID: I20171206003001 |
| Provider Name | Gwendolyn Sumter-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962910372 PECOS PAC ID: 1153676234 Enrollment ID: I20180613000945 |
| Provider Name | Joji James |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134534571 PECOS PAC ID: 0446594618 Enrollment ID: I20190903002042 |
| Provider Name | Kimberly Behney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780208090 PECOS PAC ID: 4587080452 Enrollment ID: I20200824000075 |
| Provider Name | Cara M Kapaun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992436406 PECOS PAC ID: 2668852740 Enrollment ID: I20220707000411 |
| Provider Name | Margaret E Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427830132 PECOS PAC ID: 6507213220 Enrollment ID: I20231116002840 |
Nazeeri Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1023 Poplar St, Lebanon, PA 17042 Phone: 717-270-9446 Fax: 717-270-5669 | |
Agape Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Cumberland St, Lebanon, PA 17042 Phone: 717-270-0335 Fax: 717-270-9740 | |
Penn Medicine Lghp Urgent Care Lebanon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 Cornwall Rd Ste 101, Lebanon, PA 17042 Phone: 717-675-1788 Fax: 717-675-1800 | |
Penn Medicine Lghp Family Medicine Quentin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Cornwall Rd Ste 201, Lebanon, PA 17042 Phone: 717-675-1780 Fax: 717-675-1787 | |
Wellspan Good Samaritan Hospital Spu Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 252 South 4th Street, Lebanon, PA 17042 Phone: 717-270-7500 | |
Union Community Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 S 8th St, Lebanon, PA 17042 Phone: 717-299-6371 Fax: 717-325-8057 | |
Lebanon Family Health Service Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Cumberland St, Lebanon, PA 17042 Phone: 717-273-6741 Fax: 717-273-6337 |