| Meadville Medical Center | |
|
1034 Grove St Ste G1 Meadville PA 16335-2945 | |
| (814) 807-1202 | |
| (814) 807-1210 |
| Full Name | Meadville Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1034 Grove St Ste G1, Meadville, Pennsylvania |
| Authorized Official Name and Position | Cory Frank Jackson (CONTROLLER) |
| Authorized Official Contact | 8143335766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadville Medical Center 1034 Grove St Meadville PA 16335-2945 Ph: (814) 807-1202 | Meadville Medical Center 1034 Grove St Ste G1 Meadville PA 16335-2945 Ph: (814) 807-1202 |
| NPI Number | 1396480372 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Medicare PECOS PAC ID | 4284535790 |
|---|---|
| Medicare Enrollment ID | O20220622002332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396480372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Beth A Wimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932189941 PECOS PAC ID: 0143232074 Enrollment ID: I20060615000082 |
| Provider Name | Nitin A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336323989 PECOS PAC ID: 7315115425 Enrollment ID: I20110715000359 |
| Provider Name | Karandeep Maur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013209592 PECOS PAC ID: 1456678051 Enrollment ID: I20170803002237 |
| Provider Name | Hannah Komedja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295154441 PECOS PAC ID: 1850785452 Enrollment ID: I20230126001644 |
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