MEDICARE: MEDIC 9 PARAMEDIC SERVICE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	02275	PA
2	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104825991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDIC 9 PARAMEDIC SERVICE, INC.

Provider Business Mailing Address
First Line	:	311 BLUE VALLEY DR
Second Line	:
City	:	BANGOR
State	:	PA
Zip	:	18013-1528
Country	:	US
Telephone Number	:	610-588-9816
Fax Number	:	610-588-9818

Provider Business Practice Location Address
First Line	:	311 BLUE VALLEY DR
Second Line	:
City	:	BANGOR
State	:	PA
Zip	:	18013-1528
Country	:	US
Telephone Number	:	610-588-9816
Fax Number	:	610-588-9818

Authorized Official
Title or Position	:	EMS COORDINATOR
Name	:	MR. DONALD ALAN DEREAMUS
Credential	:
Telephone Number	:	610-588-9816

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	09/11/2025

Similar Medicare Providers

1922953199 — AMBER PETCHONKA
Practice Location Address:

1135 VALLEY VIEW DR
BANGOR, PA
18013-5901

Practice Phone: 484-860-4002
Practice Fax:

1962406488 — SCOTT MICHAEL CESARI PT
Practice Location Address:

269 BLUE VALLEY DR
BANGOR, PA
18013-1512

Practice Phone: 610-588-3284
Practice Fax: 610-588-3877

1467457630 — LEHIGH VALLEY PHYSICAL THERAPY CENTER, INC
Practice Location Address:

269 BLUE VALLEY DR
BANGOR, PA
18013-1512

Practice Phone: 610-588-3284
Practice Fax: 610-588-3877

1376540633 — ERICA JACLYN MILLER PT
Practice Location Address:

269 BLUE VALLEY DR
BANGOR, PA
18013-1512

Practice Phone: 610-588-3284
Practice Fax: 610-588-3877

1114926938 — DR. CHRISTOPHER J. NOWIK O.D.
Practice Location Address:

385 BANGOR JUNCTION RD
BANGOR, PA
18013-9369

Practice Phone: 610-588-0129
Practice Fax: 610-588-4700

1750380473 — CHRISTOPHER J. NOWIK, O.D., P.C.
Practice Location Address:

385 BANGOR JUNCTION RD
BANGOR, PA
18013-9369

Practice Phone: 610-588-0129
Practice Fax: 610-588-4700

Directions to “MEDIC 9 PARAMEDIC SERVICE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.