| Lebanon Valley Family Medicine, Inc | |
|
1400 S Forge Rd Palmyra PA 17078-9519 | |
| (717) 838-1301 | |
| Not Available |
| Full Name | Lebanon Valley Family Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 S Forge Rd, Palmyra, Pennsylvania |
| Authorized Official Name and Position | Shirley L Dailey (BUSINESS MANAGER) |
| Authorized Official Contact | 7178381301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Valley Family Medicine, Inc 1400 S Forge Rd Palmyra PA 17078-9519 Ph: (717) 838-1301 | Lebanon Valley Family Medicine, Inc 1400 S Forge Rd Palmyra PA 17078-9519 Ph: (717) 838-1301 |
| NPI Number | 1386609014 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7214825876 |
|---|---|
| Medicare Enrollment ID | O20040306000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386609014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David A Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467417733 PECOS PAC ID: 0648168203 Enrollment ID: I20040306000083 |
| Provider Name | John Benson Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356306534 PECOS PAC ID: 4284616806 Enrollment ID: I20040629000874 |
| Provider Name | Mark W Leach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619932936 PECOS PAC ID: 9830234400 Enrollment ID: I20100308000054 |
| Provider Name | Ronica A Montagna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740245042 PECOS PAC ID: 0143355305 Enrollment ID: I20100315000055 |
| Provider Name | Jenny S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508821836 PECOS PAC ID: 0042345209 Enrollment ID: I20100315000061 |
| Provider Name | Amy L Schreiber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902195654 PECOS PAC ID: 5395978233 Enrollment ID: I20140805000948 |
| Provider Name | Ingrid Regina Bakalorz Blubaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548676364 PECOS PAC ID: 7810114865 Enrollment ID: I20170815001189 |
| Provider Name | Travis R Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275060998 PECOS PAC ID: 5395166136 Enrollment ID: I20200602002367 |
Penn State Hershey Medical Group -palmyra Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Park Dr, Palmyra, PA 17078 Phone: 800-243-1455 | |
Ideal Wellness Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Leon Ave, Palmyra, PA 17078 Phone: 717-256-1820 |