Susan Marchezak, | |
520 Penn Ave, Wilkinsburg, PA 15221-2117 | |
(412) 336-2002 | |
(412) 693-9787 |
Full Name | Susan Marchezak |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 520 Penn Ave, Wilkinsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245602887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP015308 (Pennsylvania) | Primary |
Entity Name | Upmc Community Medicine Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558976092 PECOS PAC ID: 2062318975 Enrollment ID: O20040217000388 |
Entity Name | Osh - Pa Physicians Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811405533 PECOS PAC ID: 7517213879 Enrollment ID: O20180629000414 |
Mailing Address | Practice Location Address |
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Susan Marchezak, Po Box 746722, Atlanta, GA 30374-6722 Ph: (773) 352-1515 | Susan Marchezak, 520 Penn Ave, Wilkinsburg, PA 15221-2117 Ph: (412) 336-2002 |
Mrs. Jacqueline Lee Destro, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 Penn Ave, Wilkinsburg, PA 15221 Phone: 412-865-6589 | |
Roberta Alston, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Penn Ave Ste B1, Wilkinsburg, PA 15221 Phone: 412-241-1111 Fax: 412-242-9243 |