Aster Assefa, Md, Pc | |
603 N Church St Mt Pleasant PA 15666-1006 | |
(724) 547-3030 | |
(724) 547-4596 |
Full Name | Aster Assefa, Md, Pc |
---|---|
Speciality | Family Medicine |
Location | 603 N Church St, Mt Pleasant, Pennsylvania |
Authorized Official Name and Position | Aster Assefa (PRESIDENT) |
Authorized Official Contact | 7245473030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Aster Assefa, Md, Pc 603 N Church St Mt Pleasant PA 15666-1006 Ph: (724) 547-3030 | Aster Assefa, Md, Pc 603 N Church St Mt Pleasant PA 15666-1006 Ph: (724) 547-3030 |
NPI Number | 1407961782 |
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Provider Enumeration Date | 08/20/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0143212175 |
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Medicare Enrollment ID | O20040331000869 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407961782 | NPI | - | NPPES |
0019211110002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Aster Assefa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912012295 PECOS PAC ID: 4385830983 Enrollment ID: I20101122000763 |
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