| |
610 High St Lock Haven PA 17745-3031 | |
(570) 748-1260 | |
(570) 748-1261 |
Full Name | |
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Speciality | Family Medicine |
Location | 610 High St, Lock Haven, Pennsylvania |
Authorized Official Name and Position | Melissa Davis (VP/COO) |
Authorized Official Contact | 5703207696 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | 610 High St Lock Haven PA 17745-3031 Ph: (570) 748-1260 |
NPI Number | 1972548337 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 10/19/2015 |
Medicare PECOS PAC ID | 2264336460 |
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Medicare Enrollment ID | O20040426001371 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972548337 | NPI | - | NPPES |
0017300760152 | Medicaid | PA | |
804540 | Other | PA | HIGHMARK BLUE SHIELD |
Provider Name | Rosemary A Wiegand |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245239870 PECOS PAC ID: 5496804577 Enrollment ID: I20090520000171 |
Provider Name | Carrie A Timko |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447228978 PECOS PAC ID: 1355476821 Enrollment ID: I20100323000424 |
Provider Name | Dennis Probst |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598791741 PECOS PAC ID: 1153312186 Enrollment ID: I20110211000771 |
Provider Name | Sarah L Mcelroy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376708487 PECOS PAC ID: 1850561945 Enrollment ID: I20110829000248 |
Provider Name | John Robert Hunter |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184963662 PECOS PAC ID: 0042444804 Enrollment ID: I20171103000147 |
Provider Name | David Luo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164957379 PECOS PAC ID: 4284971268 Enrollment ID: I20200909002673 |
Provider Name | Katie Lynn Thomke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063091692 PECOS PAC ID: 0941618086 Enrollment ID: I20210409000857 |
Provider Name | Marcus Daniel Powers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982195442 PECOS PAC ID: 9335545060 Enrollment ID: I20210907000108 |
Provider Name | Michael Su |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639707326 PECOS PAC ID: 6103270517 Enrollment ID: I20231003002526 |
Provider Name | Jonathan William Seiferth |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386224384 PECOS PAC ID: 7517369192 Enrollment ID: I20240910004944 |
Lock Haven Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 930 Bellefonte Ave, Suite 105, Lock Haven, PA 17745 Phone: 570-748-1550 Fax: 570-748-1510 | |
Pleasant Valley Family Medicine P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 High St, Lock Haven, PA 17745 Phone: 570-748-7400 Fax: 570-748-8004 | |
Lock Haven Clinic Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Cree Dr, Lock Haven, PA 17745 Phone: 570-893-5330 | |
Keystone Gi Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1019 Oriole Cir S, Lock Haven, PA 17745 Phone: 570-660-1203 | |