- Medicare Primary Care in Irwin, PA

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is a medicare enrolled primary clinic (Family Medicine) in Irwin, Pennsylvania. The current practice location for is 905 Spruce St Ste 201, Irwin, Pennsylvania. For appointments, you can reach them via phone at (724) 864-9595. The mailing address for is 905 Spruce St, Irwin, Pennsylvania and phone number is (724) 864-9595.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1427096577. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (724) 864-9595.

Contact Information

905 Spruce St Ste 201
Irwin
PA 15642-3683
(724) 864-9595
(724) 864-9860

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location905 Spruce St Ste 201, Irwin, Pennsylvania
Authorized Official Name and PositionJawdat A Nikoula (MD/ OWNER)
Authorized Official Contact7248649595
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

905 Spruce St
Irwin
PA 15642-3683

Ph: (724) 864-9595
905 Spruce St Ste 201
Irwin
PA 15642-3683

Ph: (724) 864-9595

NPI Details:

NPI Number1427096577
Provider Enumeration Date06/02/2006
Last Update Date10/15/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9638083173
Medicare Enrollment IDO20031118000612

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427096577NPI-NPPES
0012633100002MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJawdat A Nikoula
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144228453
PECOS PAC ID: 2264338870
Enrollment ID: I20040721001088
Provider NameJames Y Lim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326167883
PECOS PAC ID: 1254495971
Enrollment ID: I20090126000104
Provider NameMark C Gottron
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093713968
PECOS PAC ID: 3870623317
Enrollment ID: I20100610000377
Provider NameVincent A Golik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104226547
PECOS PAC ID: 4688987381
Enrollment ID: I20150724010074
Provider NameRuba Nicola
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760862171
PECOS PAC ID: 8729385604
Enrollment ID: I20180628002062
Provider NameBehnam L Hatam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033753256
PECOS PAC ID: 2668803222
Enrollment ID: I20200514001816
Provider NameJad Sallit
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316501141
PECOS PAC ID: 3577897222
Enrollment ID: I20220809000033

Reviews and Comments


Family Medicine in Irwin, PA


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Phone: 724-744-3700    Fax: 724-744-3702

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Practice Location: 100 Pennsylvania Ave, Irwin, PA 15642
Phone: 724-863-1204    Fax: 724-863-9169

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Medicare: Not Enrolled in Medicare
Practice Location: 7546 Route 30, 1st Floor, Irwin, PA 15642
Phone: 724-765-1030    Fax: 724-765-1023
Irwin Eye Care Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 511 Main St, Irwin, PA 15642
Phone: 724-863-3116    Fax: 724-863-2489

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.