| Pennsylvania Psychiatric Medical Services | |
|
2501 N 3rd St Harrisburg PA 17110-1904 | |
| (717) 782-6420 | |
| Not Available |
| Full Name | Pennsylvania Psychiatric Medical Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 2501 N 3rd St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | William Daly (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7177824742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Psychiatric Medical Services Po Box 826929 Philadelphia PA 19182-6929 Ph: (717) 782-6420 | Pennsylvania Psychiatric Medical Services 2501 N 3rd St Harrisburg PA 17110-1904 Ph: (717) 782-6420 |
| NPI Number | 1235642968 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 11/16/2017 |
| Medicare PECOS PAC ID | 2860735347 |
|---|---|
| Medicare Enrollment ID | O20190524001078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235642968 | NPI | - | NPPES |
| 1020963800 | Medicaid | PA |
| Provider Name | John D Goldman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306802277 PECOS PAC ID: 6103809140 Enrollment ID: I20040610000633 |
| Provider Name | Richard W Prensner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992767909 PECOS PAC ID: 2264410430 Enrollment ID: I20040713000890 |
| Provider Name | Eleanor F Dunham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811940125 PECOS PAC ID: 0749279271 Enrollment ID: I20041027000139 |
| Provider Name | Nicole M Osevala |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205953015 PECOS PAC ID: 7618060849 Enrollment ID: I20090624000471 |
| Provider Name | Bolanle A Limann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033361662 PECOS PAC ID: 4587717129 Enrollment ID: I20090730000060 |
| Provider Name | Venkateswarlu Muvva |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942480553 PECOS PAC ID: 2567627425 Enrollment ID: I20120628000046 |
| Provider Name | Vinod K Nookala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376772269 PECOS PAC ID: 0244486223 Enrollment ID: I20120807000390 |
| Provider Name | Nangalya Tirthala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497986897 PECOS PAC ID: 9537315270 Enrollment ID: I20120810000631 |
| Provider Name | Bilal Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831401397 PECOS PAC ID: 8426284217 Enrollment ID: I20131127000863 |
| Provider Name | Yick Hei Au |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184902926 PECOS PAC ID: 5597907105 Enrollment ID: I20140915001378 |
| Provider Name | Jonathan J Nunez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508039843 PECOS PAC ID: 5496066870 Enrollment ID: I20150626000107 |
| Provider Name | Sarah S Kawasaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821222381 PECOS PAC ID: 6800042607 Enrollment ID: I20161021000277 |
| Provider Name | Chiamaka Nnamani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033407978 PECOS PAC ID: 3678840154 Enrollment ID: I20170605002068 |
| Provider Name | Bonnie J Konasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023485034 PECOS PAC ID: 6103134739 Enrollment ID: I20180110000285 |
| Provider Name | Curtis W Bone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063642361 PECOS PAC ID: 5092024307 Enrollment ID: I20181003003215 |
| Provider Name | Bhavna Bali |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1437681541 PECOS PAC ID: 5890191373 Enrollment ID: I20210908003457 |
| Provider Name | Elizabeth F Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235786278 PECOS PAC ID: 8527458819 Enrollment ID: I20211130002064 |
| Provider Name | Christopher Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720541089 PECOS PAC ID: 4082942719 Enrollment ID: I20220629000041 |
| Provider Name | Andrew Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518454693 PECOS PAC ID: 4688924988 Enrollment ID: I20220817001229 |
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