| Neurologic Therapeutics Of Pittsburgh, Llc | |
|
2790 Mosside Blvd Ste 700 Monroeville PA 15146-2761 | |
| (412) 527-1017 | |
| Not Available |
| Full Name | Neurologic Therapeutics Of Pittsburgh, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2790 Mosside Blvd Ste 700, Monroeville, Pennsylvania |
| Authorized Official Name and Position | Michael John Tometsko (OWNER) |
| Authorized Official Contact | 4125271017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurologic Therapeutics Of Pittsburgh, Llc 4530 William Penn Hwy Pmb 108 Murrysville PA 15668 Ph: () - | Neurologic Therapeutics Of Pittsburgh, Llc 2790 Mosside Blvd Ste 700 Monroeville PA 15146-2761 Ph: (412) 527-1017 |
| NPI Number | 1831806934 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/30/2022 |
| Medicare PECOS PAC ID | 5395115273 |
|---|---|
| Medicare Enrollment ID | O20230111000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831806934 | NPI | - | NPPES |
| 1902954605 | Medicaid | PA | |
| 1598761025 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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