| Osteopathic Internal Medicine Associates Inc. | |
|
2010 W 38th St Erie PA 16508-2004 | |
| (814) 868-5481 | |
| (814) 864-7608 |
| Full Name | Osteopathic Internal Medicine Associates Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2010 W 38th 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 |
|---|---|
| Osteopathic Internal Medicine Associates Inc. 1 Lecom Pl Erie PA 16505-2571 Ph: (814) 868-2529 | Osteopathic Internal Medicine Associates Inc. 2010 W 38th St Erie PA 16508-2004 Ph: (814) 868-5481 |
| NPI Number | 1649327792 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 9739127234 |
|---|---|
| Medicare Enrollment ID | O20050425000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649327792 | NPI | - | NPPES |
| 0007339400002 | Other | PA | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | OS003106L (Pennsylvania) | Primary |
| Provider Name | Paul W Heberle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528173192 PECOS PAC ID: 6709871031 Enrollment ID: I20040416000958 |
| Provider Name | Eric J Milie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396795100 PECOS PAC ID: 0840209094 Enrollment ID: I20060629000363 |
| Provider Name | John M Ferretti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477518777 PECOS PAC ID: 0244250272 Enrollment ID: I20080630000532 |
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