Cecilia T Urquico, MD | |
2501 W 12th St, Suite 1, Erie, PA 16505-4527 | |
(814) 806-1144 | |
(814) 833-0659 |
Full Name | Cecilia T Urquico |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2501 W 12th St, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013966548 | NPI | - | NPPES |
P01058226 | Other | PA | RR MEDICARE |
002060951 | Other | PA | HIGHMARK BCBS |
1026730840001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD435122 (Pennsylvania) | Primary |
Entity Name | Medical Service Professionals Of Nj Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972044923 PECOS PAC ID: 9931473139 Enrollment ID: O20170927002286 |
Mailing Address | Practice Location Address |
---|---|
Cecilia T Urquico, MD Po Box 644850, Pittsburgh, PA 15264-4850 Ph: (412) 937-8887 | Cecilia T Urquico, MD 2501 W 12th St, Suite 1, Erie, PA 16505-4527 Ph: (814) 806-1144 |
Mrs. Marsha Sigrid Dietrich-mclean, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 Fax: 814-877-3622 | |
Matthew Heitzenrater, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 State St Ste 401, Erie, PA 16507 Phone: 814-877-5333 Fax: 814-877-5329 | |
Dr. Mary Katherine Lasher, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2501 W 12th St Ste C4, Erie, PA 16505 Phone: 814-461-6626 | |
David Kruszewski, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3125 French St, Erie, PA 16504 Phone: 814-456-2047 | |
Harry Louis Haus, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3823 W 12th St, Erie, PA 16505 Phone: 814-490-3728 | |
Anthony Raymond Ignocheck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 State St, Erie, PA 16501 Phone: 814-454-4530 Fax: 814-456-2375 |