Physician Compare National (NPI:1699156208)

HEALTHCARE PROVIDER: JEFFREY MUENZER

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699156208
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133483027
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180717001726
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MUENZER
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Middle Name	RICHARD
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	LOCK HAVEN EMERGENCY PHYSICIANS PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0547394447
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	24 CREE DR
	Group Practice or individual's line 1 address
City	LOCK HAVEN
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	177452639
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5708935000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390045
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WILLIAMSPORT REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390071
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LOCK HAVEN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y