| |
100 Hospital Ave Du Bois PA 15801-1440 | |
(814) 375-3535 | |
(814) 375-3563 |
Full Name | |
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Speciality | Internal Medicine |
Location | 100 Hospital Ave, Du Bois, Pennsylvania |
Authorized Official Name and Position | Brian S Kline (VP & CFO) |
Authorized Official Contact | 8143756377 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 768-2132 | 100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 375-3535 |
NPI Number | 1932464039 |
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Provider Enumeration Date | 07/05/2012 |
Last Update Date | 01/22/2019 |
Medicare PECOS PAC ID | 5890689715 |
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Medicare Enrollment ID | O20190528001283 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932464039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | (Pennsylvania) | Primary |
Provider Name | Carmine C Marchioli |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1861592016 PECOS PAC ID: 2264531722 Enrollment ID: I20070625000068 |
Provider Name | Hazem F Elkassas |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1518067859 PECOS PAC ID: 2567562028 Enrollment ID: I20070712000467 |
Provider Name | Pamela Ingram |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508193855 PECOS PAC ID: 7810023678 Enrollment ID: I20100331000355 |
Provider Name | Jean E Levin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881794089 PECOS PAC ID: 6305038324 Enrollment ID: I20101008000999 |
Provider Name | Adam L Wisor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932480167 PECOS PAC ID: 9830364728 Enrollment ID: I20111205000190 |
Provider Name | Frances B Abraham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376005694 PECOS PAC ID: 1951644335 Enrollment ID: I20190529000419 |
Provider Name | Jennifer Christine Colvin |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1225298748 PECOS PAC ID: 5395914626 Enrollment ID: I20200320001759 |
Provider Name | Howard Jeffrey Gold |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1215096771 PECOS PAC ID: 1850358029 Enrollment ID: I20220624001418 |
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 | |