| Highlands Medical Corp | |
|
2620 Memorial Blvd Connellsville PA 15425-1488 | |
| (724) 626-0700 | |
| (724) 626-8700 |
| Full Name | Highlands Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 2620 Memorial Blvd, Connellsville, Pennsylvania |
| Authorized Official Name and Position | William Kozak (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7246260700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highlands Medical Corp 506 Athena Dr Delmont PA 15626-1005 Ph: (724) 468-6869 | Highlands Medical Corp 2620 Memorial Blvd Connellsville PA 15425-1488 Ph: (724) 626-0700 |
| NPI Number | 1639115637 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204844533 |
|---|---|
| Medicare Enrollment ID | O20060329000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639115637 | NPI | - | NPPES |
| 1014902030001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William Joseph Kozak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912908914 PECOS PAC ID: 7012925316 Enrollment ID: I20060328000742 |
Penn Highlands Connellsville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 E Murphy Ave, Connellsville, PA 15425 Phone: 724-628-1500 Fax: 724-626-2217 | |
Internal Medicine Associates Of Connellsville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 261 E Crawford Ave, Connellsville, PA 15425 Phone: 724-628-4600 | |
James Miller Oppy Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Pittsburgh St, Suite 3a, Connellsville, PA 15425 Phone: 724-628-4450 Fax: 724-626-2580 | |
Excela Health Connellsville Internal Med-dr. Tiberio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 W Crawford Ave, Connellsville, PA 15425 Phone: 724-628-5800 Fax: 724-628-1419 | |
Albert K Enany Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 S Arch St, Connellsville, PA 15425 Phone: 724-628-3500 Fax: 724-628-9009 | |
Tiffany M Lawrence Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Revere Dr, Connellsville, PA 15425 Phone: 724-887-5640 | |
Excela Health Physician Practices, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2618 Memorial Blvd Ste B-1, Connellsville, PA 15425 Phone: 724-628-3944 |