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15870 Route 322 Suite 2 Clarion PA 16214-6338 | |
(814) 764-6066 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 15870 Route 322, Clarion, Pennsylvania |
Authorized Official Name and Position | Elizabeth Kundick (FISCAL ADMINISTRATOR) |
Authorized Official Contact | 8142978220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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15870 Route 322 Suite 2 Clarion PA 16214-6338 Ph: () - | 15870 Route 322 Suite 2 Clarion PA 16214-6338 Ph: (814) 764-6066 |
NPI Number | 1225241805 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 12/12/2019 |
Medicare PECOS PAC ID | 7719924703 |
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Medicare Enrollment ID | O20100104000099 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225241805 | NPI | - | NPPES |
1002302280003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
251B00000X | Case Management | (Pennsylvania) | Secondary |
Provider Name | Zahida Bhatti |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1932208584 PECOS PAC ID: 6507864758 Enrollment ID: I20061122000102 |
Provider Name | Carol F Encarnacion |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1407844319 PECOS PAC ID: 4183794662 Enrollment ID: I20080610000689 |
Provider Name | Elias Shattahi |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1245495605 PECOS PAC ID: 2264566363 Enrollment ID: I20130925000668 |
Clarion Hospital Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Doctors Ln, Suite 202, Clarion, PA 16214 Phone: 814-226-2500 | |
Health Services Of Clarion, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Doctors Ln, Clarion, PA 16214 Phone: 814-226-3470 Fax: 814-226-3479 | |
Clarion Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Clarion, PA 16214 Phone: 814-226-9500 Fax: 814-226-1457 | |
Brooks Medical Arts, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Greenville Ave, Clarion, PA 16214 Phone: 814-744-8525 Fax: 814-744-9291 | |