Samuel T Detwiler, DO | |
160 Medical Center Rd Ste A, Chicora, PA 16025-2612 | |
(833) 995-0123 | |
(724) 445-7446 |
Full Name | Samuel T Detwiler |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 160 Medical Center Rd Ste A, Chicora, 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 |
---|---|---|---|
1548259617 | NPI | - | NPPES |
753111223027 | Other | OH | CARESOURCE |
000000285856 | Other | OH | ANTHEM BCBS |
2393299 | Medicaid | OH | |
000000285856 | Other | OH | UNICARE-LIFE AND HEALTH |
P006463 | Other | OH | GATEWAY HEALTH PLAN OF OH |
4489898 | Other | OH | CIGNA |
J07985 | Other | OH | SUMMACARE HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34-00-7985 (Ohio) | Secondary |
207Q00000X | Family Medicine | OS016525 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Visiting Nurses Association Western Pa | Butler, PA | Home health agency |
Butler Memorial Hospital | Butler, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Butler Medical Providers | 7416840160 | 294 |
Entity Name | Butler Medical Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619493046 PECOS PAC ID: 7416840160 Enrollment ID: O20040205000830 |
Entity Name | Upmc Community Medicine Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558976092 PECOS PAC ID: 2062318975 Enrollment ID: O20040217000388 |
Entity Name | Bhs Faster Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316269863 PECOS PAC ID: 4880719038 Enrollment ID: O20100913000296 |
Mailing Address | Practice Location Address |
---|---|
Samuel T Detwiler, DO Po Box 1549, Butler, PA 16003-1549 Ph: (724) 284-4084 | Samuel T Detwiler, DO 160 Medical Center Rd Ste A, Chicora, PA 16025-2612 Ph: (833) 995-0123 |