| Muncy Family Practice Llc | |
|
151 John Brady Dr Suite 4 Pennsdale PA 17756-8401 | |
| (570) 546-8255 | |
| (570) 546-3668 |
| Full Name | Muncy Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 151 John Brady Dr, Pennsdale, Pennsylvania |
| Authorized Official Name and Position | James F Way (PHYSICAN/OWNER) |
| Authorized Official Contact | 5705468255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muncy Family Practice Llc 151 John Brady Dr Suite 4 Pennsdale PA 17756-8401 Ph: (570) 546-8255 | Muncy Family Practice Llc 151 John Brady Dr Suite 4 Pennsdale PA 17756-8401 Ph: (570) 546-8255 |
| NPI Number | 1891245247 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 1759669849 |
|---|---|
| Medicare Enrollment ID | O20161025000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891245247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS007523E (Pennsylvania) | Primary |
| Provider Name | James Fredrick Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457357188 PECOS PAC ID: 1355383159 Enrollment ID: I20050523000478 |
Muncy Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 John Brady Dr, Suite 4, Pennsdale, PA 17756 Phone: 570-546-8255 |