Mbembo Bongutu, MD | |
201 State St, Erie, PA 16550-0002 | |
(814) 877-4922 | |
(814) 877-3622 |
Full Name | Mbembo Bongutu |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 201 State St, Erie, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851393268 | NPI | - | NPPES |
P001411 | Other | PA | GATEWAY |
00026887601 | Other | NY | UNIVERA |
01983279 | Other | NY | NY MEDICAL ASSISTANCE |
75913 | Other | PA | UNISON |
080163990 | Other | PA | RR MEDICARE |
323780 | Other | PA | UPMC |
1645032 | Other | PA | BLUE SHIELD |
2228324 | Other | OH | OHIO MEDICAL ASSISTANCE |
0016842690006 | Medicaid | PA | |
7441061 | Other | PA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD062832L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Upmc Hamot Hospital | Erie, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regional Health Services Inc | 4880593722 | 480 |
Entity Name | Regional Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174520654 PECOS PAC ID: 4880593722 Enrollment ID: O20040108000694 |
Mailing Address | Practice Location Address |
---|---|
Mbembo Bongutu, MD 201 State St, Erie, PA 16550-0002 Ph: (814) 877-4922 | Mbembo Bongutu, MD 201 State St, Erie, PA 16550-0002 Ph: (814) 877-4922 |
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 |