| Medical Pain Management Pc | |
|
915 N Mountain Rd Suite C Harrisburg PA 17112-1793 | |
| (717) 652-5550 | |
| (717) 652-2488 |
| Full Name | Medical Pain Management Pc |
|---|---|
| Speciality | General Practice |
| Location | 915 N Mountain Rd, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Michael Shaft (OFFICE MANAGER) |
| Authorized Official Contact | 7176525550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Pain Management Pc 915 N Mountain Rd Suite C Harrisburg PA 17112-1793 Ph: (717) 652-5550 | Medical Pain Management Pc 915 N Mountain Rd Suite C Harrisburg PA 17112-1793 Ph: (717) 652-5550 |
| NPI Number | 1639596794 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 03/26/2014 |
| Medicare PECOS PAC ID | 0749403616 |
|---|---|
| Medicare Enrollment ID | O20140521001975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639596794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Karen Kunz Cesarano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487866802 PECOS PAC ID: 6901810019 Enrollment ID: I20060127000504 |
| Provider Name | Earl W Edwards |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134176142 PECOS PAC ID: 8426015546 Enrollment ID: I20060726000221 |
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