Dr Marty Cole, MD | |
208 S. Arch Street, Connellsville, PA 15425-3519 | |
(724) 626-2630 | |
(724) 626-2655 |
Full Name | Dr Marty Cole |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 208 S. Arch Street, Connellsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295846681 | NPI | - | NPPES |
100877218 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD066646L (Pennsylvania) | Primary |
Entity Name | Centerville Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801877048 PECOS PAC ID: 7214837202 Enrollment ID: O20040427000681 |
Mailing Address | Practice Location Address |
---|---|
Dr Marty Cole, MD 1070 National Pike Road, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Dr Marty Cole, MD 208 S. Arch Street, Connellsville, PA 15425-3519 Ph: (724) 626-2630 |
Godofredo Bautista Perez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 134 S. Pittsburgh St, Connellsville, PA 15425 Phone: 724-628-0310 | |
Dr. Margel C Guie, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 W Crawford Ave, Connellsville, PA 15425 Phone: 724-628-6776 | |
Mrs. Judith Anne Bell, SP011473 Family Medicine Medicare: Medicare Enrolled Practice Location: 2620-c Memorial Blvd, Highlands Medical, Connellsville, PA 15425 Phone: 724-626-0700 | |
Sarah Lumley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 Memorial Blvd, Connellsville, PA 15425 Phone: 724-626-7335 Fax: 724-626-7339 | |
Richard A Conn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2616 Memorial Blvd Ste B, Connellsville, PA 15425 Phone: 724-628-9350 Fax: 724-628-9353 | |
Dr. Charlene Rae Saloom, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 S. Arch Street, Connellsville, PA 15425 Phone: 724-626-2630 Fax: 724-626-2655 |