<unavail> in Hawley, PA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Hawley, Pennsylvania. The current practice location for is 750 Route 739, Hawley, Pennsylvania. For appointments, you can reach them via phone at (570) 775-7100. The mailing address for is 601 Park St, Honesdale, Pennsylvania and phone number is (570) 253-8101.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477736254. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (570) 775-7100.

Contact Information


	750 Route 739 Hawley PA 18428-6071
	(570) 775-7100
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	750 Route 739, Hawley, Pennsylvania
Authorized Official Name and Position	Frederick Jackson (EXECUTIVE DIRECTOR)
Authorized Official Contact	5702538450
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
601 Park St Honesdale PA 18431-1445 Ph: (570) 253-8101	750 Route 739 Hawley PA 18428-6071 Ph: (570) 775-7100

NPI Details:

NPI Number	1477736254
Provider Enumeration Date	12/14/2007
Last Update Date	12/23/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	3072598937
Medicare Enrollment ID	O20080418000449

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477736254	NPI	-	NPPES
1007765560005	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS011217 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	MD428487 (Pennsylvania)	Secondary
207V00000X	Obstetrics & Gynecology	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Hawley, PA

Keystone Family Practice Of Hawley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Main Ave, Hawley, PA 18428 Phone: 570-226-6077
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2489 Us Route 6, Hawley, PA 18428 Phone: 570-226-2200 Fax: 570-226-2208
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2489 Route 6, Hawley, PA 18428 Phone: 570-226-2200 Fax: 570-226-2208

- Medicare Primary Care in Hawley, PA