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PRIMEMED MEDICAL GRP PECKVILLE IN COLLABORATION W/GEISINGER CLINIC
NPI 1528475100
Family Medicine in Peckville, PA

Active since July 16, 2014CLIA 39D0948576 · Waiver
320 KEYSTONE AVE, PECKVILLE, PA 18452(570) 489-0871(570) 489-8021 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primemed Medical Grp Peckville In Collaboration W/geisinger Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMEMED MEDICAL GRP PECKVILLE IN COLLABORATION W/GEISINGER CLINIC (NPI 1528475100) is a healthcare organization registered as a family medicine in Peckville, Pennsylvania and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Cindy L Mull, Director Revenue Managment, as its authorized official.

NPPES Registry Identity

NPI1528475100
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGEISINGER CLINIC
Location Address320 KEYSTONE AVEPeckville, PA 18452-2242
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-5555
Phone(570) 489-0871
Fax(570) 489-8021
Organization SubpartNo
Authorized OfficialCindy L MullDirector Revenue Managment · (570) 271-5555
Enumeration DateJuly 16, 2014
Last NPPES UpdateNovember 12, 2014
✔ NPI 1528475100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
320 KEYSTONE AVE, Peckville, PA 18452
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Other Names 1

Doing Business AsPrimemed Medical Grp Peckville In Collaboration W/geisinger Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0948576

Primemed PC · Peckville, PA
Active · expires Jul 13, 2028
CLIA Number39D0948576
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorDr. Anthony W. Freda
Laboratory Phone(570) 489-0871
Laboratory LocationPrimemed PC320 Keystone Avenue, Peckville, PA 18452
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL GEORGE BRUNDAGE DO
Internal Medicine
320 KEYSTONE AVE
PECKVILLE, PA 18452
Lackawanna County (570) 489-0871
RYAN KEVIN LOUGHRAN
Family Medicine
320 KEYSTONE AVE
PECKVILLE, PA 18452
Lackawanna County (570) 489-0871
ANTHONY WILLIAM FREDA DO
Internal Medicine
320 KEYSTONE AVE
PECKVILLE, PA 18452
Lackawanna County (570) 489-0871
KEVIN G WILLIAMS MD
Internal Medicine
320 KEYSTONE AVE
PECKVILLE, PA 18452
Lackawanna County (570) 489-0871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geisinger Clinic's NPI number?

The NPI number for Geisinger Clinic is 1528475100. It was assigned to this organization in the NPPES registry on July 16, 2014. The provider is doing business as Primemed Medical Grp Peckville In Collaboration W/Geisinger Clinic.

Where is Geisinger Clinic located?

Geisinger Clinic is located at 320 Keystone Ave, Peckville, PA 18452. The listed phone number is (570) 489-0871.

What is Geisinger Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Geisinger Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0948576) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Geisinger Clinic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Geisinger Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geisinger Clinic was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.