Jose F Derr (NPI# 1942298070, PAC ID# 6608903612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1942298070 |
| PAC ID by PECOS | 6608903612 |
| Professional Enrollment ID | I20100423000124 |
| Full Name | Jose F Derr |
| Organization Legal Name | BERWICK CLINIC COMPANY LLC |
| Address |
101 W 9th St Berwick PA 18603-3024 |
| Phone Number | 5707592600 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0648279620 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390072 | BERWICK HOSPITAL CENTER |
| 390006 | GEISINGER MEDICAL CENTER |
| 390003 | GEISINGER - BLOOMSBURG HOSPITAL |
| 390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 W 9th St, Berwick, PA 18603-3024 | 5707592600 | BERWICK CLINIC COMPANY LLC |
| Organization Legal Name | BERWICK CLINIC COMPANY LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maxwell Eric Tolan | Family Medicine | Berwick Clinic Company LLC | 1 Brookhill S Sq, Sugarloaf, PA 18249-1016 |
| Kwaku Nyame Boakye | Family Medicine | Berwick Clinic Company LLC | 109 S Mail St, Berwick Medical Prof, Shickskinny, PA 18655-1221 |
| Michael B Levandowski | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Kathy Eileen Baylor | Family Medicine | Berwick Clinic Company LLC | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 |
| Marek Kurowski | Pain Management | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Erica Perez | Family Medicine | Berwick Clinic Company LLC | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 |
| Ryan J Hawley | General Surgery | Berwick Clinic Company LLC | 6850 Lows Rd, Suite 328, Berwick, PA 18603-2321 |
| Robert A Gregor | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Michelle Lynn Hall | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Alyssa D Menghini | Physician Assistant | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Street Address |
101 W 9TH ST |
| City | BERWICK |
| State | PA |
| Zip | 18603-3024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moin U Mallhi | Interventional Pain Management | 1200 Freas Ave, Berwick, PA 18603-1612 | |
| Aldo J Suraci | Urology | 1009 Fowler Ave, Berwick, PA 18603-2305 | |
| Michael B Levandowski | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Marek Kurowski | Pain Management | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Robert A Gregor | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Michelle Lynn Hall | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Alyssa D Menghini | Physician Assistant | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| John Anthony Guerriero | General Surgery | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Phillip C Longnecker | Physician Assistant | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Tao Hong | Anesthesiology | Gulfstream Anesthesia Consultants Pa | 701 E 16th St, Berwick, PA 18603-2316 |
| Find all physicians in zip 18603 | |||
| City | BERWICK |
| Zip Code | 18603 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BERWICK + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.