| Pocono Adult & Pediatric Medical Group Llc | |
|
302 E Brown St Suite A East Stroudsburg PA 18301-3010 | |
| (570) 476-4161 | |
| (570) 476-9954 |
| Full Name | Pocono Adult & Pediatric Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 302 E Brown St, East Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Solibe Chikaodili Ufondu (OWNER) |
| Authorized Official Contact | 5704764161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pocono Adult & Pediatric Medical Group Llc 302 E Brown St Suite A East Stroudsburg PA 18301-3010 Ph: (570) 476-4161 | Pocono Adult & Pediatric Medical Group Llc 302 E Brown St Suite A East Stroudsburg PA 18301-3010 Ph: (570) 476-4161 |
| NPI Number | 1144251745 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 03/15/2016 |
| Medicare PECOS PAC ID | 0547449670 |
|---|---|
| Medicare Enrollment ID | O20110121000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144251745 | NPI | - | NPPES |
| 001318932 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD062479L (Pennsylvania) | Primary |
| 208000000X | Pediatrics | MD062320L (Pennsylvania) | Secondary |
| Provider Name | Solibe Chikaodili Ufondu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548232523 PECOS PAC ID: 1456530583 Enrollment ID: I20110121000512 |
Advanced Care Internal Medicine L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 Garnet Ln, East Stroudsburg, PA 18301 Phone: 973-900-0471 Fax: 570-730-4415 | |
Harpreet K Singh Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 E Brown St, East Stroudsburg, PA 18301 Phone: 570-854-5438 Fax: 570-421-4541 | |
Sibbering And Mielnicki, Assoc.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5221 Milford Rd, East Stroudsburg, PA 18302 Phone: 570-588-6197 | |
Coordinated Health Primary Care-vna Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Vna Rd, East Stroudsburg, PA 18301 Phone: 610-861-8080 Fax: 570-369-1111 | |
Pocono Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Plaza Ct, Suite B, East Stroudsburg, PA 18301 Phone: 570-421-8526 Fax: 570-421-7899 | |
East Brown Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Eaglesmere Cir, East Stroudsburg, PA 18301 Phone: 570-421-5111 Fax: 571-421-4125 |