<unavail> in Lebanon, PA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Lebanon, Pennsylvania. The current practice location for is 1023 Poplar St, Lebanon, Pennsylvania. For appointments, you can reach them via phone at (717) 270-9446. The mailing address for is 1023 Poplar St, Lebanon, Pennsylvania and phone number is (717) 270-9446.

is licensed to practice in Pennsylvania (license number MD071071-L). The clinic also participates in the medicare program and its NPI number is 1104948082. 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 (717) 270-9446.

Contact Information


	1023 Poplar St Lebanon PA 17042-6636
	(717) 270-9446
	(717) 270-5669

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1023 Poplar St, Lebanon, Pennsylvania
Authorized Official Name and Position	Sarah Margaret Nazeeri (PRACTICE ADMINISTRATOR)
Authorized Official Contact	7172709446
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1023 Poplar St Lebanon PA 17042-6636 Ph: (717) 270-9446	1023 Poplar St Lebanon PA 17042-6636 Ph: (717) 270-9446

NPI Details:

NPI Number	1104948082
Provider Enumeration Date	04/04/2007
Last Update Date	11/01/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	6800062837
Medicare Enrollment ID	O20111222000096

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104948082	NPI	-	NPPES
1038504970001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	MD071071-L (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Musaddiq N Nazeeri
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1952392441 PECOS PAC ID: 6709074750 Enrollment ID: I20101217000605

Reviews and Comments

Clinic/Center in Lebanon, PA

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 S 8th St, Lebanon, PA 17042 Phone: 717-299-6371 Fax: 717-325-8057
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- Medicare Primary Care in Lebanon, PA