Mark K Vatavuk, MD | |
311 W 24th St Ste 305, Erie, PA 16502-2666 | |
(814) 454-4484 | |
(814) 452-7005 |
Full Name | Mark K Vatavuk |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 311 W 24th St Ste 305, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184603508 | NPI | - | NPPES |
000712108 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD021568E (Pennsylvania) | Primary |
Entity Name | St Vincent Medical Education And Research Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576 |
Mailing Address | Practice Location Address |
---|---|
Mark K Vatavuk, MD 311 W 24th St Ste 305, Erie, PA 16502-2666 Ph: (814) 454-4484 | Mark K Vatavuk, MD 311 W 24th St Ste 305, Erie, PA 16502-2666 Ph: (814) 454-4484 |
Mrs. Marsha Sigrid Dietrich-mclean, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 Fax: 814-877-3622 | |
Matthew Heitzenrater, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 State St Ste 401, Erie, PA 16507 Phone: 814-877-5333 Fax: 814-877-5329 | |
Dr. Mary Katherine Lasher, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2501 W 12th St Ste C4, Erie, PA 16505 Phone: 814-461-6626 | |
David Kruszewski, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3125 French St, Erie, PA 16504 Phone: 814-456-2047 | |
Harry Louis Haus, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3823 W 12th St, Erie, PA 16505 Phone: 814-490-3728 | |
Cecilia T. Urquico, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2501 W 12th St, Suite 1, Erie, PA 16505 Phone: 814-806-1144 Fax: 814-833-0659 | |
Anthony Raymond Ignocheck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 State St, Erie, PA 16501 Phone: 814-454-4530 Fax: 814-456-2375 |