Dr. Donnie Novak Llc | |
1412 Jefferson Road, Jefferson, PA 15344 | |
(724) 883-3733 | |
(724) 883-4766 |
Full Name | Dr. Donnie Novak Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1412 Jefferson Road, Jefferson, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396051371 | NPI | - | NPPES |
720936 62Z642 | Other | WV | ACN GROUP |
1770768632 | Other | WV | MOUNTAIN STATE BLUE CROSS BLUE SHIELD |
WV878 | Other | WV | HEALTH PLAN OF WEST VIRGINIA |
3810012422 | Medicaid | WV | |
4841943 | Other | CIGNA | |
9211153 | Other | WV | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC010188 (Pennsylvania) | Primary |
Provider Name | Donald Isaac Novak |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770768632 PECOS PAC ID: 7012086325 Enrollment ID: I20110124000035 |
Mailing Address | Practice Location Address |
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Dr. Donnie Novak Llc Po Box 211, Jefferson, PA 15344-0211 Ph: (724) 883-3733 | Dr. Donnie Novak Llc 1412 Jefferson Road, Jefferson, PA 15344 Ph: (724) 883-3733 |
Jefferson Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1412 Jefferson Road, Jefferson, PA 15344 Phone: 724-883-3733 Fax: 724-883-4766 | |
Dr. Donald I Novak, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1412 Jefferson Road, Jefferson, PA 15344 Phone: 724-883-3733 | |
Dr. L. Randy Pettit, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1412 Jefferson Road, Jefferson, PA 15344 Phone: 724-883-3733 Fax: 724-883-4766 |