| Latrobe Family Medicine | |
|
1 Mellon Way Latrobe PA 15650-1197 | |
| (724) 537-1480 | |
| (724) 539-6353 |
| Full Name | Latrobe Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Mellon Way, Latrobe, Pennsylvania |
| Authorized Official Name and Position | Melissa L. Dishong (VICE PRESIDENT/EXEC DIR - EHPP) |
| Authorized Official Contact | 7248308500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Latrobe Family Medicine 134 Industrial Park Rd Ste 2300a Greensburg PA 15601-7328 Ph: (724) 689-1835 | Latrobe Family Medicine 1 Mellon Way Latrobe PA 15650-1197 Ph: (724) 537-1480 |
| NPI Number | 1336166974 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 11/02/2015 |
| Medicare PECOS PAC ID | 4183525595 |
|---|---|
| Medicare Enrollment ID | O20040119000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336166974 | NPI | - | NPPES |
| 100761052 | Medicaid | PA | |
| 664131 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jerome W Gera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043266257 PECOS PAC ID: 2466346945 Enrollment ID: I20040216000023 |
| Provider Name | William Tod Winslow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841282175 PECOS PAC ID: 1052352747 Enrollment ID: I20050512000418 |
| Provider Name | David A Wyszomierski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245235118 PECOS PAC ID: 7517917735 Enrollment ID: I20050519000207 |
| Provider Name | Suzanne Elise Putnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558318733 PECOS PAC ID: 7214031764 Enrollment ID: I20070322000551 |
| Provider Name | Mark Kielbiowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982826285 PECOS PAC ID: 8123126364 Enrollment ID: I20070612000099 |
| Provider Name | Kenneth Micheal Dinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043477060 PECOS PAC ID: 8628140084 Enrollment ID: I20080701000282 |
| Provider Name | Bernard C Scherer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497732333 PECOS PAC ID: 0042374779 Enrollment ID: I20090126000146 |
| Provider Name | Ronald A Monack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790783140 PECOS PAC ID: 2163586751 Enrollment ID: I20090127000047 |
| Provider Name | Jill M Kielbiowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194992636 PECOS PAC ID: 0345394458 Enrollment ID: I20090824000332 |
| Provider Name | John P Horne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881648129 PECOS PAC ID: 9931231321 Enrollment ID: I20100721000101 |
| Provider Name | Matthew R Woleslagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770727000 PECOS PAC ID: 7315100880 Enrollment ID: I20120521000034 |
| Provider Name | Molly M Castille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710088455 PECOS PAC ID: 1456371376 Enrollment ID: I20120606000054 |
| Provider Name | Bruce Barry Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922203371 PECOS PAC ID: 6608921093 Enrollment ID: I20130910000440 |
| Provider Name | Danielle A Roe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700179587 PECOS PAC ID: 4082938550 Enrollment ID: I20150112001311 |
| Provider Name | Kevin M Bartolomucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255699369 PECOS PAC ID: 6204157738 Enrollment ID: I20150609000823 |
| Provider Name | Michele L Mattis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689914566 PECOS PAC ID: 4981903424 Enrollment ID: I20160504001358 |
| Provider Name | Ryan P Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699112797 PECOS PAC ID: 1557669249 Enrollment ID: I20160718000186 |
Chestnut Ridge Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Route 217, Suite 5, Latrobe, PA 15650 Phone: 724-694-0274 Fax: 724-694-0383 | |
Excela Health Weldon Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Weldon St, Latrobe, PA 15650 Phone: 724-537-0733 Fax: 724-537-0860 | |
Oscar Reyna Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 328 Weldon St, Latrobe, PA 15650 Phone: 724-537-3381 Fax: 724-537-9198 | |
Excela Health Chestnut Ridge Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Route 217, Latrobe, PA 15650 Phone: 724-694-2723 Fax: 724-694-0383 | |
Diagnostic Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Ligonier St, Suite 100, Latrobe, PA 15650 Phone: 724-539-3555 Fax: 724-539-1966 | |
Grosso Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5927 State Route 981, Suite 8, Latrobe, PA 15650 Phone: 724-879-8739 Fax: 724-879-4292 |