| Slate Belt Family Practice Pc | |
|
826 S Broadway Wind Gap PA 18091-1628 | |
| (610) 863-3019 | |
| (610) 863-6732 |
| Full Name | Slate Belt Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 826 S Broadway, Wind Gap, Pennsylvania |
| Authorized Official Name and Position | Wayne J Brotzman (PHYSICIAN) |
| Authorized Official Contact | 6108633019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Slate Belt Family Practice Pc 826 S Broadway Wind Gap PA 18091-1628 Ph: (610) 863-3019 | Slate Belt Family Practice Pc 826 S Broadway Wind Gap PA 18091-1628 Ph: (610) 863-3019 |
| NPI Number | 1396715389 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 04/24/2008 |
| Medicare PECOS PAC ID | 6305922188 |
|---|---|
| Medicare Enrollment ID | O20080319000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396715389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS-007427L (Pennsylvania) | Primary |
| 207Q00000X | Family Medicine | OS-006844L (Pennsylvania) | Secondary |
| Provider Name | Michael S Depaolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891892618 PECOS PAC ID: 8820174626 Enrollment ID: I20080319000287 |
| Provider Name | Wayne J Brotzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295832012 PECOS PAC ID: 3678659489 Enrollment ID: I20080319000375 |
Bushkill Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 497 Bushkill Plaza Ln, Wind Gap, PA 18091 Phone: 610-863-7020 Fax: 866-833-9399 | |
Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Jacobsburg Rd, Wind Gap, PA 18091 Phone: 610-402-8900 Fax: 610-402-5623 | |
Coordinated Health Primary Care-wind Gap Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Jacobsburg Rd, Wind Gap, PA 18091 Phone: 610-861-8080 Fax: 610-452-3016 | |
A. B. Defranco Family And Alternative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 497 Bushkill Plaza Ln Ste B, Wind Gap, PA 18091 Phone: 610-863-6767 | |
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St. Luke's Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Male Rd, Wind Gap, PA 18091 Phone: 610-654-1000 |