| Michelle Ecker Md Llc | |
|
1200 Red Barn Rd Lower Gwynedd PA 19002-1278 | |
| (267) 481-2245 | |
| Not Available |
| Full Name | Michelle Ecker Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Red Barn Rd, Lower Gwynedd, Pennsylvania |
| Authorized Official Name and Position | Michelle Ecker (PHYSICIAN) |
| Authorized Official Contact | 2674812245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ecker Md Llc Po Box 842 Spring House PA 19477-0842 Ph: (267) 481-2245 | Michelle Ecker Md Llc 1200 Red Barn Rd Lower Gwynedd PA 19002-1278 Ph: (267) 481-2245 |
| NPI Number | 1902587686 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 1456707710 |
|---|---|
| Medicare Enrollment ID | O20231024001470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902587686 | NPI | - | NPPES |
| MD053754L | Other | PA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle Ecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942295415 PECOS PAC ID: 2062315500 Enrollment ID: I20040130000802 |
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