Peter Lukasz Wilczanski, MD | |
5241 Buffalo Rd, Lakeshore Family Practice, Erie, PA 16510-2309 | |
(814) 877-7686 | |
(814) 877-7692 |
Full Name | Peter Lukasz Wilczanski |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 5241 Buffalo Rd, 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 |
---|---|---|---|
1700874146 | NPI | - | NPPES |
00025573901 | Other | NY | UNIVERA |
0011180320003 | Medicaid | PA | |
080081947 | Other | PA | RR MEDICARE |
66429 | Other | PA | UNISON |
P000383 | Other | PA | GATEWAY |
212709 | Other | PA | UPMC |
522615 | Other | PA | AETNA |
01917019 | Other | NY | NY MEDICAID |
015973 | Other | PA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD040751L (Pennsylvania) | Primary |
Entity Name | Epn Hamot Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518283753 PECOS PAC ID: 1052443249 Enrollment ID: O20100723000525 |
Mailing Address | Practice Location Address |
---|---|
Peter Lukasz Wilczanski, MD 717 State St, Suite 16, Erie, PA 16501-1341 Ph: (814) 480-7100 | Peter Lukasz Wilczanski, MD 5241 Buffalo Rd, Lakeshore Family Practice, Erie, PA 16510-2309 Ph: (814) 877-7686 |
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 |