Roy W Warren Jr, DO | |
318 Goucher St, Johnstown, PA 15905-3423 | |
(814) 288-4488 | |
(814) 288-4485 |
Full Name | Roy W Warren Jr |
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Gender | Male |
Speciality | Family Medicine |
Location | 318 Goucher St, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962495390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS002899L (Pennsylvania) | Primary |
Entity Name | Pennsylvania Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851374698 PECOS PAC ID: 0547168064 Enrollment ID: O20040301000722 |
Entity Name | Pennsylvania Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154304483 PECOS PAC ID: 0547168064 Enrollment ID: O20041130000438 |
Mailing Address | Practice Location Address |
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Roy W Warren Jr, DO 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 535-8885 | Roy W Warren Jr, DO 318 Goucher St, Johnstown, PA 15905-3423 Ph: (814) 288-4488 |
Sai Harsha Bobba, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 Fax: 814-534-5599 | |
Bonifacio Tan Aguilera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 Terlyn Drive, Johnstown, PA 15904 Phone: 814-467-6378 | |
Dr. Sahar Elias, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904 Phone: 814-269-5200 Fax: 814-269-5070 | |
Sandeep Mahal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 | |
Fredrick William Munzer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Theatre Dr, Johnstown, PA 15904 Phone: 814-269-4507 Fax: 814-288-0194 | |
Erica Korin Wentz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9106 | |
Mark Mitchell Malicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 322 Warren St, Ste 300, Johnstown, PA 15905 Phone: 814-288-1418 Fax: 814-288-1525 |