| Prime Care Providers Llc | |
|
1013 Menoher Blvd Johnstown PA 15905-2544 | |
| (814) 254-4885 | |
| Not Available |
| Full Name | Prime Care Providers Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1013 Menoher Blvd, Johnstown, Pennsylvania |
| Authorized Official Name and Position | George J Frem (CEO) |
| Authorized Official Contact | 8142544885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Providers Llc 1013 Menoher Blvd Johnstown PA 15905-2544 Ph: (814) 254-4885 | Prime Care Providers Llc 1013 Menoher Blvd Johnstown PA 15905-2544 Ph: (814) 254-4885 |
| NPI Number | 1992353619 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Medicare PECOS PAC ID | 3678803913 |
|---|---|
| Medicare Enrollment ID | O20190930000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992353619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen J Matse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427054642 PECOS PAC ID: 2466548573 Enrollment ID: I20071022000237 |
| Provider Name | George J Frem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053315549 PECOS PAC ID: 0941208623 Enrollment ID: I20090316000521 |
| Provider Name | James E Mckendree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992700504 PECOS PAC ID: 9234254327 Enrollment ID: I20100913000962 |
| Provider Name | Lawrence T. Beatty |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417906413 PECOS PAC ID: 5799801874 Enrollment ID: I20100927000292 |
| Provider Name | Jill M Brant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528474541 PECOS PAC ID: 1850519729 Enrollment ID: I20140908000108 |
| Provider Name | Ashley L Peterman Beener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609374321 PECOS PAC ID: 8921353939 Enrollment ID: I20180615000137 |
| Provider Name | Karan D Nealen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063056836 PECOS PAC ID: 4082047543 Enrollment ID: I20191214000047 |
| Provider Name | Jamie Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639946445 PECOS PAC ID: 8123479037 Enrollment ID: I20240104003106 |
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