| Millcreek Community Hospital | |
|
2820 W 12th St Erie PA 16505-4204 | |
| (814) 833-8800 | |
| (814) 833-2079 |
| Full Name | Millcreek Community Hospital |
|---|---|
| Speciality | Internal Medicine |
| Location | 2820 W 12th 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 2820 W 12th St Erie PA 16505-4204 Ph: (814) 833-8800 |
| NPI Number | 1275310591 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 8426020173 |
|---|---|
| Medicare Enrollment ID | O20240329002730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275310591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert J Esper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790767457 PECOS PAC ID: 1557449600 Enrollment ID: I20080415000597 |
| Provider Name | Bryant E Bojewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124009188 PECOS PAC ID: 3870774623 Enrollment ID: I20110226000050 |
| Provider Name | Michael Wayne Hankins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548782907 PECOS PAC ID: 5991061699 Enrollment ID: I20200728000390 |
| Provider Name | Colette Elizabeth Yori Tobia |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598147290 PECOS PAC ID: 3375807845 Enrollment ID: I20240229001678 |
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