Conrad J Stachelek, MD | |
2508 Myrtle Street, Suite 100, Erie, PA 16505-2700 | |
(814) 452-5400 | |
(814) 454-2003 |
Full Name | Conrad J Stachelek |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 38 Years |
Location | 2508 Myrtle Street, Erie, 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 |
---|---|---|---|
1104822543 | NPI | - | NPPES |
001411566 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0203X | Radiology - Therapeutic Radiology | MD049426L (Pennsylvania) | Secondary |
2085R0001X | Radiology - Radiation Oncology | MD049426 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Vincent Hospital | Erie, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allegheny Clinic | 5395649586 | 1959 |
Entity Name | Allegheny Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
Mailing Address | Practice Location Address |
---|---|
Conrad J Stachelek, MD 2508 Myrtle Street, Suite 100, Erie, PA 16505-2700 Ph: (814) 452-5400 | Conrad J Stachelek, MD 2508 Myrtle Street, Suite 100, Erie, PA 16505-2700 Ph: (814) 452-5400 |
Floyd Hyatt, Radiology Medicare: Medicare Enrolled Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-6182 | |
Bharath Kumar Chinta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 232 W 25th St, Erie, PA 16544 Phone: 814-452-5000 | |
Thomas J Wilkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 Sigsbee St, Erie, PA 16508 Phone: 814-454-4599 Fax: 814-454-4503 | |
Rachel Anne Lagos, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-6182 Fax: 814-877-6149 | |
Aaron Rucks, Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 State St Fl 4, Erie, PA 16507 Phone: 814-877-6370 | |
Margaret Glenn, Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 State St Ste 108, 1st Floor Suite 108, Erie, PA 16507 Phone: 814-877-5560 | |
Kevin Andrew Fisher, MD Radiology Medicare: Medicare Enrolled Practice Location: 2500 W 12th St, Erie, PA 16505 Phone: 814-838-9000 Fax: 814-838-0462 |