Dr Jon Derek Nicassio, DO | |
8791 Barnes Lake Rd Ste 101, North Huntingdon, PA 15642-3176 | |
(724) 864-9400 | |
(724) 864-8044 |
Full Name | Dr Jon Derek Nicassio |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 8791 Barnes Lake Rd Ste 101, North Huntingdon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083292585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS023552 (Pennsylvania) | Primary |
Entity Name | Excela Health Physician Practices, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 |
Mailing Address | Practice Location Address |
---|---|
Dr Jon Derek Nicassio, DO 8791 Barnes Lake Rd Ste 101, North Huntingdon, PA 15642-3176 Ph: (724) 864-9400 | Dr Jon Derek Nicassio, DO 8791 Barnes Lake Rd Ste 101, North Huntingdon, PA 15642-3176 Ph: (724) 864-9400 |
Daniel Medic Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8791 Barnes Lake Rd, Ste 101, North Huntingdon, PA 15642 Phone: 724-864-9400 Fax: 724-864-8044 | |
Keith Szekely, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8775 Norwin Ave, Suite 202, North Huntingdon, PA 15642 Phone: 724-978-7950 | |
Rebecca A Quel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8775 Norwin Ave, North Huntingdon, PA 15642 Phone: 855-765-7277 Fax: 724-863-0046 | |
Clark Kerr, Family Medicine Medicare: Medicare Enrolled Practice Location: 12279 Route 30, North Huntingdon, PA 15642 Phone: 724-864-7101 | |
Dr. Thor Christian Mathos, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8775 Norwin Ave, North Huntingdon, PA 15642 Phone: 855-765-7277 Fax: 724-863-0046 | |
Kim R Avolio, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8775 Norwin Ave, North Huntingdon, PA 15642 Phone: 724-765-1168 Fax: 724-765-1241 |