Primary Care Services
NPI 1962804955ActiveOrganization· Internal Medicine· Meadville, PA
Internal Medicine in Meadville, Pennsylvania, registered in NPPES in September 2014, part of Primary Care Services. The authorized official on file is Cory Jackson, Controller. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1962804955 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Primary Care Services |
| NPI issued | Sep 22, 2014 |
| Last updated in NPPES | Apr 24, 2026 |
| Certified by provider | Apr 24, 2026 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA) |
|---|
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