| Dr Mary A Walters | |
|
1174 Wyoming Ave Forty Fort PA 18704-4016 | |
| (570) 288-9444 | |
| (570) 331-7543 |
| Full Name | Dr Mary A Walters |
|---|---|
| Speciality | Clinic/center |
| Location | 1174 Wyoming Ave, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | Mary A Walters (OWNER) |
| Authorized Official Contact | 5702889444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary A Walters 1174 Wyoming Ave Forty Fort PA 18704-4016 Ph: (570) 288-9444 | Dr Mary A Walters 1174 Wyoming Ave Forty Fort PA 18704-4016 Ph: (570) 288-9444 |
| NPI Number | 1124296314 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 02/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124296314 | NPI | - | NPPES |
| 072962 | Other | PA | FIRST PRIORITY HEALTH |
| 1659387678 | Other | PA | INDV NPI TYPE 1 |
| WA181952 | Other | PA | MEDICARE |
| 181952 | Other | PA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Roy W Gernhardt Iii Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-6888 Fax: 570-288-6880 | |
Robert Engel, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Welles St, Suite 201, Forty Fort, PA 18704 Phone: 570-283-9399 Fax: 570-283-9457 | |
Joseph P. Chollak, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-287-7704 | |
Elizabeth A. Gernhardt Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-331-9134 Fax: 570-331-9171 | |
John P Brady Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Rutter Ave, Forty Fort, PA 18704 Phone: 570-287-5588 Fax: 570-287-3799 | |
William H Boyle, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1732 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-287-6930 |