Gina Demaiolo, | |
176 Virginia Ave, Rochester, PA 15074-1723 | |
(724) 770-9095 | |
(724) 770-9096 |
Full Name | Gina Demaiolo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 176 Virginia Ave, Rochester, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730893827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN639623 (Pennsylvania) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP026715 (Pennsylvania) | Primary |
Entity Name | Primary Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
Mailing Address | Practice Location Address |
---|---|
Gina Demaiolo, 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (724) 770-9095 | Gina Demaiolo, 176 Virginia Ave, Rochester, PA 15074-1723 Ph: (724) 770-9095 |
Cheryl Neusch, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 176 Virginia Ave, Rochester, PA 15074 Phone: 724-770-9095 Fax: 724-770-9096 | |
Lynn Marie Jamison, CRNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 176 Virginia Ave, Rochester, PA 15074 Phone: 724-770-9095 Fax: 724-770-9096 |