Dr Nicole Ignatius, DO | |
90 Beaver Dr Ste 121d, Du Bois, PA 15801-2441 | |
(814) 503-4837 | |
(814) 503-4697 |
Full Name | Dr Nicole Ignatius |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 90 Beaver Dr Ste 121d, Du Bois, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114227683 | NPI | - | NPPES |
102769793 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OT013241 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | OS016283 (Pennsylvania) | Primary |
Entity Name | Ignatius Family Medicine & Wellness Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326787409 PECOS PAC ID: 0244606440 Enrollment ID: O20221012003534 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole Ignatius, DO 90 Beaver Dr Ste 121d, Du Bois, PA 15801-2441 Ph: (814) 503-4837 | Dr Nicole Ignatius, DO 90 Beaver Dr Ste 121d, Du Bois, PA 15801-2441 Ph: (814) 503-4837 |
Stanley Lang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 W Park Ave, Suite 7, Du Bois, PA 15801 Phone: 814-375-1222 Fax: 814-375-9336 | |
Nina Lindemuth, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Midway Dr, Du Bois, PA 15801 Phone: 814-299-7152 | |
Chun-yu Lee, Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-371-2200 | |
Dr. Kristin O'bryon Renwick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 898 Beaver Dr, Du Bois, PA 15801 Phone: 814-371-3980 Fax: 814-371-8317 | |
Gregory Allan Sachs, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Sunflower Dr, Du Bois, PA 15801 Phone: 814-375-0600 Fax: 814-375-4469 | |
Rene L Wells, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 90 Beaver Dr Bldg C, Du Bois, PA 15801 Phone: 814-317-2273 |