Stephen J Kruljac, D.p.m., P.c. | |
495 East Waterfront Drive, Suite 230, Homestead, PA 15120-1151 | |
(412) 461-1108 | |
(412) 461-5490 |
Full Name | Stephen J Kruljac, D.p.m., P.c. |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 495 East Waterfront Drive, Homestead, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225214968 | NPI | - | NPPES |
100960XXT | Other | PA | MC GROUP PROVIDER NUMBER |
1225214968 | Other | PA | MC GROUP NPI NUMBER |
1225214968 | Other | PA | INDIVIDUAL NPI NUMBER |
100960 | Other | PA | MEDICARE LEGACY NUMBER |
480009776 | Other | PA | RAILROAD MEDICARE |
0009128330001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | SC002458L (Pennsylvania) | Primary |
Provider Name | Stephen J Kruljac |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1861464836 PECOS PAC ID: 5092890038 Enrollment ID: I20080314000182 |
Mailing Address | Practice Location Address |
---|---|
Stephen J Kruljac, D.p.m., P.c. 495 East Waterfront Drive, Suite 230, Homestead, PA 15120-1151 Ph: (412) 461-1108 | Stephen J Kruljac, D.p.m., P.c. 495 East Waterfront Drive, Suite 230, Homestead, PA 15120-1151 Ph: (412) 461-1108 |
Kathleen M Oconnell Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 495 E Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 | |
Stanley D Bosta, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 495 Waterfront Dr E, Suite 230, Homestead, PA 15120 Phone: 412-325-0397 Fax: 412-461-5490 | |
Sara Sadeghi, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 495 E Waterfront Dr Ste 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 | |
John J Distazio, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 495 E Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 | |
John J Distazio, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 495 Waterfront Dr E, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 | |
Anna Doan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 495 E Waterfront Dr Ste 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 |