| Ms Mary Sue Capella, FNP-C | |
| 1152 Wood Street, California, PA 15419-1260 | |
| (724) 938-2122 | |
| (724) 938-7853 | 
| Full Name | Ms Mary Sue Capella | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1152 Wood Street, California, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275249005 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP025111 (Pennsylvania) | Primary | 
| Entity Name | Centerville Clinics Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801877048 PECOS PAC ID: 7214837202 Enrollment ID: O20040427000681 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Mary Sue Capella, FNP-C 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Ms Mary Sue Capella, FNP-C 1152 Wood Street, California, PA 15419-1260 Ph: (724) 938-2122 | 
| Frances Fayish,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 University Ave, California, PA 15419 Phone: 724-938-5922 Fax: 724-938-4509 | |
| Beth Theis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 3rd St, California, PA 15419 Phone: 724-938-7466 Fax: 724-938-7470 | |
| Erika Rae Robaugh, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1152 Wood St, California, PA 15419 Phone: 724-938-2122 |