| Twin Rivers Gastroenterology Center, Inc | |
|
20 Community Dr Easton PA 18045-2658 | |
| (610) 258-6635 | |
| (610) 258-2879 |
| Full Name | Twin Rivers Gastroenterology Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Community Dr, Easton, Pennsylvania |
| Authorized Official Name and Position | Shanker Mukherjee (CEO) |
| Authorized Official Contact | 6102586635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Rivers Gastroenterology Center, Inc 20 Community Dr Easton PA 18045-2658 Ph: (610) 258-6635 | Twin Rivers Gastroenterology Center, Inc 20 Community Dr Easton PA 18045-2658 Ph: (610) 258-6635 |
| NPI Number | 1851343784 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4880589100 |
|---|---|
| Medicare Enrollment ID | O20040331000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851343784 | NPI | - | NPPES |
| 0497999 | Other | PA | AETNA |
| 6754805 | Medicaid | NJ | |
| 02300700 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Manoj K Mittal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720172737 PECOS PAC ID: 0749382307 Enrollment ID: I20100729000874 |
| Provider Name | Shanker Mukherjee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558340265 PECOS PAC ID: 1951296276 Enrollment ID: I20101117001043 |
| Provider Name | Stephen L Willis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629139076 PECOS PAC ID: 2062491038 Enrollment ID: I20110201000091 |
| Provider Name | Amit Sohagia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447456306 PECOS PAC ID: 5395832216 Enrollment ID: I20110824000083 |
| Provider Name | Barry Herman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700865607 PECOS PAC ID: 7517132616 Enrollment ID: I20111219000039 |
| Provider Name | Nadya D Poretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023416443 PECOS PAC ID: 0244555126 Enrollment ID: I20150218000167 |
| Provider Name | Deanne Babio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124681697 PECOS PAC ID: 5496086886 Enrollment ID: I20191118000763 |
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