Ellenjeane Albanese, MD

Individual provider Active NPI Internal Medicine Physician · Force, PA

NPI 1619902178 · NPPES record last updated Apr 25, 2011

Key facts

NPI
1619902178
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
MD-040786-E (PA)
Practice address
Hemlock Ave
Force, PA 15841
Phone
(814) 787-5131
Fax
(814) 787-8586
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-040786-EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Internal Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-040786-E PA Yes

Addresses

Primary practice location

Hemlock Ave
Force, PA 15841

Mailing address

PO Box 447
Du Bois, PA 15801-0447
Phone (814) 787-5131

Other identifiers

IdentifierTypeStateIssuer
001171138MedicaidPA

Other providers in Force, PA

All providers in Force, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.