| Montgomery Medical, Inc. | |
|
105 Laurel View Dr Smithfield PA 15478-8908 | |
| (724) 569-8100 | |
| Not Available |
| Full Name | Montgomery Medical, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Laurel View Dr, Smithfield, Pennsylvania |
| Authorized Official Name and Position | Marcy Goisse (PRESIDENT) |
| Authorized Official Contact | 7245698100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Medical, Inc. 100 Ridgeview Dr Unit 3 Smithfield PA 15478-1650 Ph: (724) 569-8100 | Montgomery Medical, Inc. 105 Laurel View Dr Smithfield PA 15478-8908 Ph: (724) 569-8100 |
| NPI Number | 1821336868 |
|---|---|
| Provider Enumeration Date | 01/25/2013 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 1355588542 |
|---|---|
| Medicare Enrollment ID | O20130507000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821336868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 072269 L (Pennsylvania) | Primary |
| Provider Name | Lisa T Chadwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790765782 PECOS PAC ID: 4981679271 Enrollment ID: I20040831000326 |
| Provider Name | Marcy J Flecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508875774 PECOS PAC ID: 7810996147 Enrollment ID: I20090218000067 |
| Provider Name | Adel Abas Mahmood Abdalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497702542 PECOS PAC ID: 8527053347 Enrollment ID: I20200228002304 |
| Provider Name | Kendell M Sogliero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720654932 PECOS PAC ID: 9537559521 Enrollment ID: I20211207000003 |
| Provider Name | Ron Y Mark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013917301 PECOS PAC ID: 5193787463 Enrollment ID: I20230330000767 |
| Provider Name | Betty Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639708936 PECOS PAC ID: 6608293287 Enrollment ID: I20231004001213 |
The Doctors Office Smithfield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Main St, Smithfield, PA 15478 Phone: 724-569-5140 Fax: 724-569-5209 | |
Fpn Smithfield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Main St, Smithfield, PA 15478 Phone: 724-569-1420 Fax: 724-569-5209 | |
Montymed Same Day Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Laurel View Dr, Smithfield, PA 15478 Phone: 724-569-8100 Fax: 724-569-8368 |