| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Hospital Ave, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Brian S Kline (VP, CFO, AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8143756377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 375-4200 | 100 Hospital Ave Du Bois PA 15801 Ph: (814) 371-2200 |
| NPI Number | 1285821835 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 10/26/2020 |
| Medicare PECOS PAC ID | 5890689715 |
|---|---|
| Medicare Enrollment ID | O20080215000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285821835 | NPI | - | NPPES |
| 1007740880070 | Medicaid | PA |
| Provider Name | Margaret A Guest |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700830148 PECOS PAC ID: 6002869526 Enrollment ID: I20050224000669 |
| Provider Name | Gretchen R Herda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487650529 PECOS PAC ID: 0840234530 Enrollment ID: I20050614000525 |
| Provider Name | Khaled Nashar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124056122 PECOS PAC ID: 0941204531 Enrollment ID: I20060913000416 |
| Provider Name | Thomas Murray Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093756207 PECOS PAC ID: 5890694012 Enrollment ID: I20101124000746 |
| Provider Name | Jeffery W Williams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316018245 PECOS PAC ID: 8325060197 Enrollment ID: I20110502000375 |
| Provider Name | Neel B Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912162819 PECOS PAC ID: 6103971379 Enrollment ID: I20150720001686 |
| Provider Name | Christian O Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881985695 PECOS PAC ID: 5193027704 Enrollment ID: I20161021000577 |
| Provider Name | Aquila Dufort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952835001 PECOS PAC ID: 7315216389 Enrollment ID: I20170706002556 |
| Provider Name | Gurvinder Bhardwaj |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215294624 PECOS PAC ID: 0648570218 Enrollment ID: I20211222001268 |
| Provider Name | Macy Rupprecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558719856 PECOS PAC ID: 4880988518 Enrollment ID: I20240220000045 |
My Care Now, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Beaver Dr, Building C, Du Bois, PA 15801 Phone: 814-371-2273 Fax: 814-371-2500 | |
Dubois Regional Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave Ste 104, Du Bois, PA 15801 Phone: 814-375-8055 Fax: 814-375-8056 | |
Skilled Medpros Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Fallen Timber Dr, Du Bois, PA 15801 Phone: 814-591-2495 Fax: 866-832-1744 | |