Mychal Jordan Ross, | |
102 Technology Dr Ste 110a, Butler, PA 16001-1784 | |
(833) 917-0873 | |
(724) 482-0185 |
Full Name | Mychal Jordan Ross |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 102 Technology Dr Ste 110a, Butler, 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 |
---|---|---|---|
1245873330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP021289 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Butler Memorial Hospital | Butler, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Medical Associates, Inc. | 7113814104 | 65 |
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 | Genesis Medical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205905429 PECOS PAC ID: 7113814104 Enrollment ID: O20040303000931 |
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 |
---|---|
Mychal Jordan Ross, 837 Mckinley St, Harwick, PA 15049-8927 Ph: () - | Mychal Jordan Ross, 102 Technology Dr Ste 110a, Butler, PA 16001-1784 Ph: (833) 917-0873 |
Kristyn Holmes, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 389 New Castle Rd, Butler, PA 16001 Phone: 724-282-2216 | |
Mrs. Jeanine M Wigton, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 250b Butler Cmns, Butler, PA 16001 Phone: 724-284-4044 | |
Megan Marie Wilson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 323 Sunset Dr Ste 2, Butler, PA 16001 Phone: 724-282-2730 | |
Dr. Jason Matthew Dorich, DNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 353 N Duffy Rd, Butler, PA 16001 Phone: 800-362-8262 | |
Tricia Leight, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Way, Butler, PA 16001 Phone: 724-283-6666 | |
Mrs. Jessica Leah Fate, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Hollywood Dr, Butler, PA 16001 Phone: 412-362-8677 | |
Melisse S Maser, RN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Way, Butler, PA 16001 Phone: 724-284-4699 |