Macisaac Family Medicine | |
125 Warrendale Bayne Rd Suite 200 Warrendale PA 15086-7570 | |
(724) 940-9191 | |
(724) 940-9195 |
Full Name | Macisaac Family Medicine |
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Speciality | Family Medicine |
Location | 125 Warrendale Bayne Rd, Warrendale, Pennsylvania |
Authorized Official Name and Position | David B Macisaac (PHYSICAN) |
Authorized Official Contact | 7249409190 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Macisaac Family Medicine 2000 Corporate Dr Ste 100 Wexford PA 15090-7609 Ph: (724) 940-9190 | Macisaac Family Medicine 125 Warrendale Bayne Rd Suite 200 Warrendale PA 15086-7570 Ph: (724) 940-9191 |
NPI Number | 1881615003 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 07/20/2021 |
Medicare PECOS PAC ID | 3476503459 |
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Medicare Enrollment ID | O20050127000325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881615003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | David Brian Macisaac |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437181336 PECOS PAC ID: 5698766996 Enrollment ID: I20040524000788 |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ericsson Dr, Warrendale, PA 15086 Phone: 623-277-1190 | |
Vein Institute Of Pittsburgh, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16000 Perry Hwy, Suite Two, Warrendale, PA 15086 Phone: 724-935-4200 Fax: 724-935-4226 |