| Schuylkill Valley Family Practice Pc | |
|
5 S Centre Avenue Leesport PA 19533 | |
| (610) 926-5707 | |
| (610) 926-8352 |
| Full Name | Schuylkill Valley Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5 S Centre Avenue, Leesport, Pennsylvania |
| Authorized Official Name and Position | Gregory C Tuke (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 6109265707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Schuylkill Valley Family Practice Pc Po Box 754 Leesport PA 19533 Ph: (610) 926-5707 | Schuylkill Valley Family Practice Pc 5 S Centre Avenue Leesport PA 19533 Ph: (610) 926-5707 |
| NPI Number | 1750346441 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750346441 | NPI | - | NPPES |
| 95986 | Other | PA | HEALTH ASSURANCE AMERICA |
| 0037 | Other | PA | AETNA |
| 02329200 | Other | PA | CAPITAL BLUE CROSS |
| CF7991 | Other | PA | PALMETTO RAILROAD MEDICAR |
| 0019244180001 | Medicaid | PA | |
| 100278 | Other | PA | AMERIHEALTH MERCY |
| 129142 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Penn State Health Medical Group - Schuylkill Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 S Centre Ave, Leesport, PA 19533 Phone: 610-926-5707 Fax: 610-926-8352 | |
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