| Manzella Family Healthcare Pc | |
|
1353 State Route 903 Jim Thorpe PA 18229-2734 | |
| (570) 325-8393 | |
| (570) 325-8029 |
| Full Name | Manzella Family Healthcare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1353 State Route 903, Jim Thorpe, Pennsylvania |
| Authorized Official Name and Position | Victor A Manzella (OWNER) |
| Authorized Official Contact | 5703258393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzella Family Healthcare Pc 1353 State Route 903 Jim Thorpe PA 18229-2734 Ph: (570) 325-8393 | Manzella Family Healthcare Pc 1353 State Route 903 Jim Thorpe PA 18229-2734 Ph: (570) 325-8393 |
| NPI Number | 1053398826 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 04/04/2013 |
| Medicare PECOS PAC ID | 7517911605 |
|---|---|
| Medicare Enrollment ID | O20050311000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053398826 | NPI | - | NPPES |
| 1753980 | Other | PA | BLUE CROSS/ BLUE SHIELD |
| 50056259 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward D Manzella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962487264 PECOS PAC ID: 9032163126 Enrollment ID: I20050311000106 |
| Provider Name | Victor Anthony Manzella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205810876 PECOS PAC ID: 4486608577 Enrollment ID: I20050311000117 |
Manzella Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1353 State Route 903, Jim Thorpe, PA 18229 Phone: 570-325-8393 Fax: 570-325-8029 | |
St Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 North St, Jim Thorpe, PA 18229 Phone: 570-645-1945 | |
Switchback Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1580 Center Ave, Jim Thorpe, PA 18229 Phone: 570-325-2705 Fax: 570-325-8310 |