Mrs Elena I Fomchenko, MD, PHD | |
2315 Myrtle St Ste L90, Erie, PA 16502-4607 | |
(814) 452-7575 | |
Not Available |
Full Name | Mrs Elena I Fomchenko |
---|---|
Gender | Female |
Speciality | Neurosurgery |
Experience | 11 Years |
Location | 2315 Myrtle St Ste L90, Erie, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336584259 | NPI | - | NPPES |
15956049 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | MD481326 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Vincent Hospital | Erie, PA | Hospital |
Westfield Memorial Hospital, Inc | Westfield, NY | Hospital |
Allegheny General Hospital | Pittsburgh, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allegheny Clinic | 5395649586 | 1959 |
Entity Name | Allegheny Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elena I Fomchenko, MD, PHD 2315 Myrtle St Ste L90, Erie, PA 16502-4607 Ph: (814) 452-7575 | Mrs Elena I Fomchenko, MD, PHD 2315 Myrtle St Ste L90, Erie, PA 16502-4607 Ph: (814) 452-7575 |
Arturo Camacho, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Myrtle St Ste L90, Erie, PA 16502 Phone: 814-452-7575 Fax: 814-452-7574 | |
Dr. Richard Norton Hall, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 6353 Meadowrue Ln, Erie, PA 16505 Phone: 814-833-6128 | |
Dr. Brian Edward Dalton, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 E 2nd St, Ste 401, Erie, PA 16507 Phone: 814-459-1013 Fax: 814-459-0435 | |
Jonathan Bellotte, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 State St Fl 4, 4th Floor, Suite 401, Erie, PA 16507 Phone: 814-877-5330 | |
Alejandro Javier Matos Cruz, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 2315 Myrtle St Ste L90, Erie, PA 16502 Phone: 814-452-7575 | |
Daniel J Muccio, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Myrtle St Ste L90, Erie, PA 16502 Phone: 814-452-7575 Fax: 814-452-7574 |