Dr Thomas Frank Antonucci, DC, CCSP | |
7950 Saltsburg Rd, Suite 1, Pittsburgh, PA 15239-1974 | |
(412) 793-3700 | |
(412) 793-2770 |
Full Name | Dr Thomas Frank Antonucci |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 22 Years |
Location | 7950 Saltsburg Rd, Pittsburgh, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952343972 | NPI | - | NPPES |
127532YVW | Other | PA | PTAN |
1021436220001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 010509-1 (New York) | Secondary |
111N00000X | Chiropractor | DC009627 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Active Chiropractic And Rehabilitation Llc | 0244542009 | 2 |
Provider Name | Active Chiropractic And Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356736334 PECOS PAC ID: 0244542009 Enrollment ID: O20150708000102 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Frank Antonucci, DC, CCSP 200 Noel Dr, Monroeville, PA 15146-1522 Ph: (716) 481-3458 | Dr Thomas Frank Antonucci, DC, CCSP 7950 Saltsburg Rd, Suite 1, Pittsburgh, PA 15239-1974 Ph: (412) 793-3700 |
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