| Roy W Gernhardt Iii Md Pc | |
|
1732 Wyoming Ave Forty Fort PA 18704-4340 | |
| (570) 288-6888 | |
| (570) 288-6880 |
| Full Name | Roy W Gernhardt Iii Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1732 Wyoming Ave, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | Roy W Gernhardt (PHYSICIAN) |
| Authorized Official Contact | 5702886888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy W Gernhardt Iii Md Pc 415 N Main St Wilkes Barre PA 18702-4411 Ph: (570) 208-5571 | Roy W Gernhardt Iii Md Pc 1732 Wyoming Ave Forty Fort PA 18704-4340 Ph: (570) 288-6888 |
| NPI Number | 1093995938 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 05/22/2008 |
| Medicare PECOS PAC ID | 3971691965 |
|---|---|
| Medicare Enrollment ID | O20071108000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093995938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD432211 (Pennsylvania) | Primary |
| Provider Name | Roy W Gernhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215071972 PECOS PAC ID: 2466545181 Enrollment ID: I20070911000330 |
Walters Family Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1174 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-9444 Fax: 570-331-7543 | |
Robert Engel, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Welles St, Suite 201, Forty Fort, PA 18704 Phone: 570-283-9399 Fax: 570-283-9457 | |
Joseph P. Chollak, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-287-7704 | |
Elizabeth A. Gernhardt Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-331-9134 Fax: 570-331-9171 | |
John P Brady Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Rutter Ave, Forty Fort, PA 18704 Phone: 570-287-5588 Fax: 570-287-3799 | |
William H Boyle, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1732 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-287-6930 |