| Fayette Medical Associates Inc | |
|
112 Youngstown Rd Suite 101 Lemont Furnace PA 15456-1344 | |
| (724) 432-5831 | |
| (724) 425-8326 |
| Full Name | Fayette Medical Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Youngstown Rd, Lemont Furnace, Pennsylvania |
| Authorized Official Name and Position | Charlene Pulice (MEDICAL BILLER) |
| Authorized Official Contact | 7244258317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayette Medical Associates Inc 112 Youngstown Rd Suite 101 Lemont Furnace PA 15456-1344 Ph: (724) 432-5831 | Fayette Medical Associates Inc 112 Youngstown Rd Suite 101 Lemont Furnace PA 15456-1344 Ph: (724) 432-5831 |
| NPI Number | 1952301368 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952301368 | NPI | - | NPPES |
| 0015441410020 | Medicaid | PA | |
| 4441 | Other | PA | UPMC |
| 782000 | Other | PA | HIGHMARK |
| CC8758 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
Mountain Spring Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Commonwealth Dr, Lemont Furnace, PA 15456 Phone: 412-920-5860 Fax: 412-920-1111 |