| Millcreek Community Hospital | |
|
5637 Peach St Erie PA 16509-2605 | |
| (814) 864-0690 | |
| (814) 866-5147 |
| Full Name | Millcreek Community Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 5637 Peach St, Erie, Pennsylvania |
| Authorized Official Name and Position | Jean Nejman (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8148682507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millcreek Community Hospital 1 Lecom Pl Erie PA 16505-2571 Ph: (814) 868-2507 | Millcreek Community Hospital 5637 Peach St Erie PA 16509-2605 Ph: (814) 864-0690 |
| NPI Number | 1053198382 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 8426020173 |
|---|---|
| Medicare Enrollment ID | O20240329002686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053198382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank M Tursi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568409050 PECOS PAC ID: 9234135955 Enrollment ID: I20061019000426 |
| Provider Name | Gary L Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932364924 PECOS PAC ID: 1658563804 Enrollment ID: I20101007000186 |
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