Mt. Pocono Family Practice Center is a primary clinic (Family Medicine) in Pocono Lake, Pennsylvania. The current practice location for Mt. Pocono Family Practice Center is Rt 940, 147, Pocono Lake, Pennsylvania. For appointments, you can reach them via phone at
(570) 646-6905. The mailing address for Mt. Pocono Family Practice Center is Rt 940, Po Box 147, Pocono Lake, Pennsylvania and phone number is (570) 646-6905.
Mt. Pocono Family Practice Center is licensed to practice in Pennsylvania (license number MD040378L) and its
NPI number is 1194803825. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(570) 646-6905.
Primary Care Clinic Profile
| Full Name | Mt. Pocono Family Practice Center |
|---|
| Speciality | Family Medicine |
|---|
| Location | Rt 940, Pocono Lake, Pennsylvania |
|---|
| Authorized Official Name and Position | George Ptakowski (OWNER) |
|---|
| Authorized Official Contact | 5706466905 |
|---|
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mt. Pocono Family Practice Center
Rt 940
Po Box 147
Pocono Lake
PA 18347
Ph: (570) 646-6905 | Mt. Pocono Family Practice Center
Rt 940
147
Pocono Lake
PA 18347
Ph: (570) 646-6905 |
NPI Details:
| NPI Number | 1194803825 |
|---|
| Provider Enumeration Date | 11/01/2006 |
|---|
| Last Update Date | 08/22/2020 |
|---|
Medical Identifiers
Medical identifiers for Mt. Pocono Family Practice Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194803825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD040378L (Pennsylvania) | Primary |
Reviews and Comments