| Pleasant Valley Family Medicine P.c. | |
|
401 High St Lock Haven PA 17745-3013 | |
| (570) 748-7400 | |
| (570) 748-8004 |
| Full Name | Pleasant Valley Family Medicine P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 401 High St, Lock Haven, Pennsylvania |
| Authorized Official Name and Position | Mary E Piergallini (OWNER) |
| Authorized Official Contact | 5707487400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Valley Family Medicine P.c. 401 High St Lock Haven PA 17745-3013 Ph: (570) 748-7400 | Pleasant Valley Family Medicine P.c. 401 High St Lock Haven PA 17745-3013 Ph: (570) 748-7400 |
| NPI Number | 1316971815 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 04/04/2022 |
| Medicare PECOS PAC ID | 0345287058 |
|---|---|
| Medicare Enrollment ID | O20050414000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316971815 | NPI | - | NPPES |
| 0019525750001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Piergallini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326018607 PECOS PAC ID: 3173611985 Enrollment ID: I20100315000009 |
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