| Rosalee Rehrig D.o., P.c. | |
|
1976 W Penn Pike New Ringgold PA 17960-9396 | |
| (570) 386-8861 | |
| (570) 386-8862 |
| Full Name | Rosalee Rehrig D.o., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1976 W Penn Pike, New Ringgold, Pennsylvania |
| Authorized Official Name and Position | Amanda J Kuhn (OFICE MANAGER) |
| Authorized Official Contact | 5703868861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosalee Rehrig D.o., P.c. 1976 W Penn Pike New Ringgold PA 17960-9396 Ph: (570) 386-8861 | Rosalee Rehrig D.o., P.c. 1976 W Penn Pike New Ringgold PA 17960-9396 Ph: (570) 386-8861 |
| NPI Number | 1073708731 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 06/23/2011 |
| Medicare PECOS PAC ID | 8921195371 |
|---|---|
| Medicare Enrollment ID | O20071101000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073708731 | NPI | - | NPPES |
| 1019671310001 | Medicaid | PA | |
| 80533 | Other | GEISINGER | |
| 1963833 | Other | PA | PA BLUE SHIELD |
| 002856 | Other | FIRST PRIORITY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS 011171-L (Pennsylvania) | Primary |
| Provider Name | Rosalee K Rehrig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043277668 PECOS PAC ID: 0749272011 Enrollment ID: I20040330001017 |