Joseph F Tavares, MD | |
322 Warren St, Suite 300, Johnstown, PA 15905-3443 | |
(814) 288-4498 | |
(814) 288-5427 |
Full Name | Joseph F Tavares |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 322 Warren St, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790850097 | NPI | - | NPPES |
1147517-05 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD032484E (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 |
Entity Name | Family Physician Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134198666 PECOS PAC ID: 8426031451 Enrollment ID: O20040610001267 |
Mailing Address | Practice Location Address |
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Joseph F Tavares, MD 322 Warren St, Suite 300, Johnstown, PA 15905-3443 Ph: (814) 288-4498 | Joseph F Tavares, MD 322 Warren St, Suite 300, Johnstown, PA 15905-3443 Ph: (814) 288-4498 |
Sai Harsha Bobba, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 Fax: 814-534-5599 | |
Bonifacio Tan Aguilera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 Terlyn Drive, Johnstown, PA 15904 Phone: 814-467-6378 | |
Dr. Sahar Elias, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904 Phone: 814-269-5200 Fax: 814-269-5070 | |
Sandeep Mahal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 | |
Fredrick William Munzer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Theatre Dr, Johnstown, PA 15904 Phone: 814-269-4507 Fax: 814-288-0194 | |
Erica Korin Wentz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9106 | |
Mark Mitchell Malicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 322 Warren St, Ste 300, Johnstown, PA 15905 Phone: 814-288-1418 Fax: 814-288-1525 |