| Shawnee Medical Group, P.c. | |
|
Buttermilk Falls Road Shawnee-on-delaware PA 18356-0244 | |
| (570) 421-3900 | |
| (570) 424-1549 |
| Full Name | Shawnee Medical Group, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | Buttermilk Falls Road, Shawnee-on-delaware, Pennsylvania |
| Authorized Official Name and Position | Wanita Ann Satterfield (OFFICE MANAGER) |
| Authorized Official Contact | 5704214759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Medical Group, P.c. Po Box 244 Shawnee On Delaware PA 18356-0244 Ph: (570) 421-3900 | Shawnee Medical Group, P.c. Buttermilk Falls Road Shawnee-on-delaware PA 18356-0244 Ph: (570) 421-3900 |
| NPI Number | 1770556573 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770556573 | NPI | - | NPPES |
| 002113 | Other | PA | FIRST PRIORITY |
| 1007575050001 | Medicaid | PA | |
| 414-E105 | Other | PA | GEISINGER |
| 744447 | Other | PA | BLUE SHIELD |
| 1007575050003 | Medicaid | PA | |
| 73398 | Other | PA | UNISON |
| 5501209 | Other | PA | GHI |
| 1007575050004 | Medicaid | PA | |
| 454980 | Other | PA | AETNA PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD031607E (Pennsylvania) | Primary |