Paoli Internal Medicine Associates Pc | |
255 W Lancaster Ave 121 Paoli Mob Ii Paoli PA 19301-1763 | |
(610) 647-8885 | |
(610) 640-3832 |
Full Name | Paoli Internal Medicine Associates Pc |
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Speciality | Internal Medicine |
Location | 255 W Lancaster Ave, Paoli, Pennsylvania |
Authorized Official Name and Position | Pat Mcanany (OFFICE MANAGER) |
Authorized Official Contact | 6106478885 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paoli Internal Medicine Associates Pc 255 W Lancaster Ave 121 Paoli Mob Ii Paoli PA 19301-1763 Ph: (610) 647-8885 | Paoli Internal Medicine Associates Pc 255 W Lancaster Ave 121 Paoli Mob Ii Paoli PA 19301-1763 Ph: (610) 647-8885 |
NPI Number | 1598724742 |
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Provider Enumeration Date | 03/17/2006 |
Last Update Date | 07/16/2008 |
Medicare PECOS PAC ID | 5698764157 |
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Medicare Enrollment ID | O20040510000874 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598724742 | NPI | - | NPPES |
CH9113 | Other | PA | RAILROAD MEDICARE |
0012275740003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
Provider Name | David R Trevino |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215918990 PECOS PAC ID: 0042209561 Enrollment ID: I20100609000952 |
Paoli Medical Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Industrial Blvd, Suite 101, Paoli, PA 19301 Phone: 610-648-9330 | |
The Modern Country Doctor, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Industrial Blvd Ste D, Paoli, PA 19301 Phone: 610-890-8522 Fax: 484-568-4748 | |
Paoli Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Lancaster Ave, Suite 120, Paoli, PA 19301 Phone: 610-644-8069 Fax: 610-644-6736 | |
Pennsylvania Physicians Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 W Lancaster Ave, Paoli, PA 19301 Phone: 610-644-2382 Fax: 610-644-7517 | |
Daylesford Family Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lancaster Ave, Paoli, PA 19301 Phone: 610-407-9490 Fax: 610-407-9455 | |
Great Valley Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Mob 2 Suite 120, Paoli, PA 19301 Phone: 610-644-9456 Fax: 610-644-5203 | |
Ira M. Thal, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Suite 202, Paoli, PA 19301 Phone: 610-647-5544 Fax: 610-647-5545 |