Mr Ian Robert Zack, DO | |
1 Mellon Way, Latrobe, PA 15650-1197 | |
(724) 537-1801 | |
(724) 532-6830 |
Full Name | Mr Ian Robert Zack |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 1 Mellon Way, Latrobe, 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 |
---|---|---|---|
1952748717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS017876 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | OS017876 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Excela Health Latrobe Hospital | Latrobe, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Excela Health Physician Practices, Inc | 6204737117 | 423 |
Entity Name | Excela Health Physician Practices, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 |
Mailing Address | Practice Location Address |
---|---|
Mr Ian Robert Zack, DO 1 Mellon Way, Latrobe, PA 15650-1197 Ph: (724) 537-1801 | Mr Ian Robert Zack, DO 1 Mellon Way, Latrobe, PA 15650-1197 Ph: (724) 537-1801 |
David Garzarelli, Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Mellon Way, Upmc St Margaret Hospital, Latrobe, PA 15650 Phone: 724-537-1801 | |
Dr. Samuel Anthony Valletta, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Mellon Way, Latrobe, PA 15650 Phone: 724-537-1207 | |
Dr. Christopher Moore, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Mellon Way, Latrobe, PA 15650 Phone: 724-537-1801 |