Charles P. Gennaula, M.d., P.c. | |
100 Peasant Village Ln Ste 100 Rostraver Township PA 15012-4333 | |
(724) 929-7800 | |
(724) 929-7800 |
Full Name | Charles P. Gennaula, M.d., P.c. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 100 Peasant Village Ln Ste 100, Rostraver Township, Pennsylvania |
Authorized Official Name and Position | Nikki Costello (BILLING MANAGER) |
Authorized Official Contact | 7249297800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Charles P. Gennaula, M.d., P.c. 100 Peasant Village Ln Ste 100 Rostraver Township PA 15012-4333 Ph: (724) 929-7800 | Charles P. Gennaula, M.d., P.c. 100 Peasant Village Ln Ste 100 Rostraver Township PA 15012-4333 Ph: (724) 929-7800 |
NPI Number | 1073170569 |
---|---|
Provider Enumeration Date | 05/21/2019 |
Last Update Date | 05/21/2019 |
Medicare PECOS PAC ID | 8729062302 |
---|---|
Medicare Enrollment ID | O20040614000781 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073170569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Charles P Gennaula |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1013914746 PECOS PAC ID: 4486649761 Enrollment ID: I20040416000550 |
Provider Name | Pushpa Kumari |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1992702625 PECOS PAC ID: 2961466818 Enrollment ID: I20041119000175 |
Provider Name | Renee Barrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568757979 PECOS PAC ID: 6305015751 Enrollment ID: I20110802000018 |
Shobha Asthana Md Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012 Phone: 724-929-6072 |