| Magnolia Networks Llc | |
|
316 Station St Suite 200 Bridgeville PA 15017-1833 | |
| (412) 914-8484 | |
| (412) 914-8179 |
| Full Name | Magnolia Networks Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 316 Station St, Bridgeville, Pennsylvania |
| Authorized Official Name and Position | Louis Hunter Farmer (PARTNER) |
| Authorized Official Contact | 4129148484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Networks Llc 316 Station St Suite 200 Bridgeville PA 15017-1833 Ph: (412) 914-8484 | Magnolia Networks Llc 316 Station St Suite 200 Bridgeville PA 15017-1833 Ph: (412) 914-8484 |
| NPI Number | 1053774422 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 09/02/2016 |
| Medicare PECOS PAC ID | 5698066082 |
|---|---|
| Medicare Enrollment ID | O20160615000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053774422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David W Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487643862 PECOS PAC ID: 5799682480 Enrollment ID: I20031219000138 |
| Provider Name | Victoria L Matasy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184612475 PECOS PAC ID: 2264330323 Enrollment ID: I20031229000039 |
| Provider Name | Michael Owens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306874649 PECOS PAC ID: 1557358306 Enrollment ID: I20040426001278 |
| Provider Name | Scott Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841255296 PECOS PAC ID: 7012907231 Enrollment ID: I20040518000452 |
| Provider Name | Dylan Paul Deatrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023057858 PECOS PAC ID: 5496769804 Enrollment ID: I20060206000298 |
| Provider Name | Magdalena Katarzyna Liebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588622427 PECOS PAC ID: 9436163862 Enrollment ID: I20060206000650 |
| Provider Name | Susan Theresa Federoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083683213 PECOS PAC ID: 9739194333 Enrollment ID: I20060220000232 |
| Provider Name | Charles Strimlan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518074467 PECOS PAC ID: 7719950039 Enrollment ID: I20100924000158 |
| Provider Name | Jason D Lukasewicz |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1578692612 PECOS PAC ID: 6608022900 Enrollment ID: I20120801000669 |
| Provider Name | Juliet E Wynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902233992 PECOS PAC ID: 5799043840 Enrollment ID: I20171218002782 |
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