Albert K Mall, MD | |
1111 Franklin St, Suite 230, Johnstown, PA 15905 | |
(814) 262-7980 | |
(814) 262-7983 |
Full Name | Albert K Mall |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1111 Franklin St, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346230927 | NPI | - | NPPES |
P00940198 | Other | RAILROAD MEDICARE | |
0009992360011 | Medicaid | PA | |
442753 | Other | PA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD023412E (Pennsylvania) | Primary |
Entity Name | Pennsylvania Department Of Human Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154304483 PECOS PAC ID: 0547168064 Enrollment ID: O20041130000438 |
Mailing Address | Practice Location Address |
---|---|
Albert K Mall, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 410-8300 | Albert K Mall, MD 1111 Franklin St, Suite 230, Johnstown, PA 15905 Ph: (814) 262-7980 |
Robert Mucciola, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1503 Scalp Ave, Johnstown, PA 15904 Phone: 814-262-0333 Fax: 814-262-7129 | |
Delbert Lynn Yoder, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1111 Franklin St, Suite 300, Johnstown, PA 15905 Phone: 814-534-9230 Fax: 814-534-9465 | |
Dr. Dottie L Watson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9000 | |
Anne M Sterlin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1111 Franklin St, Suite 300, Johnstown, PA 15905 Phone: 814-534-9203 Fax: 814-534-9465 | |
Adib Najib Khouzami, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Franklin St, Ste 300, Johnstown, PA 15905 Phone: 814-534-9230 Fax: 814-534-9465 | |
Jihad Elias Azar, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Franklin St, Ste 300, Johnstown, PA 15905 Phone: 814-534-9230 Fax: 814-534-9465 |