Dr Michael O'malley, MD | |
751 Liberty St, Meadville, PA 16335 | |
(814) 333-5144 | |
(814) 373-2255 |
Full Name | Dr Michael O'malley |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 751 Liberty St, Meadville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649258062 | NPI | - | NPPES |
3084726 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD25732 (Tennessee) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD051141L (Pennsylvania) | Primary |
Entity Name | Ut Regional One Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael O'malley, MD 751 Liberty St, Meadville, PA 16335-2559 Ph: (814) 333-5144 | Dr Michael O'malley, MD 751 Liberty St, Meadville, PA 16335 Ph: (814) 333-5144 |
Frederic Thomas Mcdermott, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-5145 Fax: 814-333-5197 | |
Gautam C Thakur, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-5144 Fax: 814-373-2255 | |
Dr. Brian J. Karlovits, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18201 Conneaut Lake Rd, Meadville, PA 16335 Phone: 814-373-2335 Fax: 814-373-2338 | |
Eric W Svenson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 16792 Conneaut Lake Rd, Meadville, PA 16335 Phone: 814-373-2335 Fax: 814-373-2338 |