| Meadville Physician Services | |
|
765 Liberty St Ste 105 Meadville PA 16335-2567 | |
| (814) 373-2310 | |
| (814) 373-2313 |
| Full Name | Meadville Physician Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 765 Liberty St Ste 105, Meadville, Pennsylvania |
| Authorized Official Name and Position | Renato Suntay (CFO) |
| Authorized Official Contact | 8143335031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadville Physician Services 1034 Grove St Meadville PA 16335-2945 Ph: (814) 373-3545 | Meadville Physician Services 765 Liberty St Ste 105 Meadville PA 16335-2567 Ph: (814) 373-2310 |
| NPI Number | 1619236056 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 08/20/2024 |
| Medicare PECOS PAC ID | 9638078504 |
|---|---|
| Medicare Enrollment ID | O20040108000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619236056 | NPI | - | NPPES |
| Provider Name | John Steven Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689639270 PECOS PAC ID: 3173416328 Enrollment ID: I20040203000646 |
| Provider Name | Gurjaipal S Kang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255335220 PECOS PAC ID: 7113811621 Enrollment ID: I20040213000222 |
| Provider Name | Samer Azouz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275532129 PECOS PAC ID: 1951291541 Enrollment ID: I20040317001206 |
| Provider Name | Jeffrey M Friedel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699756148 PECOS PAC ID: 1658358007 Enrollment ID: I20040702000501 |
| Provider Name | Robert Wayne Tahara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902859069 PECOS PAC ID: 5698736312 Enrollment ID: I20041026000168 |
| Provider Name | Kevin Richard Kraeling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447358775 PECOS PAC ID: 5092711960 Enrollment ID: I20061017000242 |
| Provider Name | Christopher J Weibel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689661514 PECOS PAC ID: 4082895529 Enrollment ID: I20110217000113 |
| Provider Name | Courtney M Mcgovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669839957 PECOS PAC ID: 1153627310 Enrollment ID: I20160315000191 |
| Provider Name | Victor J Pilewski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548494115 PECOS PAC ID: 5496970865 Enrollment ID: I20180227002977 |
| Provider Name | Corinne Yost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821556259 PECOS PAC ID: 3971844176 Enrollment ID: I20190417000930 |
| Provider Name | Sandeep Dayanand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376891978 PECOS PAC ID: 4183036437 Enrollment ID: I20201210002387 |
| Provider Name | Bridget Starr Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033712765 PECOS PAC ID: 8628480209 Enrollment ID: I20201228000123 |
| Provider Name | Julie L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063187276 PECOS PAC ID: 5193117422 Enrollment ID: I20220119001596 |
| Provider Name | Benjamin Shore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902339013 PECOS PAC ID: 9436530219 Enrollment ID: I20220726001185 |
| Provider Name | Adil Sattar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235440652 PECOS PAC ID: 6709010879 Enrollment ID: I20220804003969 |
| Provider Name | Christian Rosero Llerena |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073043139 PECOS PAC ID: 5890118186 Enrollment ID: I20221219000107 |
| Provider Name | Garrett Britton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437563319 PECOS PAC ID: 0345568515 Enrollment ID: I20240321001951 |
Crawford Eye Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1039 Park Ave, Meadville, PA 16335 Phone: 814-724-2020 Fax: 814-337-1150 | |
Meadville Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 Liberty Street, Suite 309, Meadville, PA 16335 Phone: 814-373-2997 Fax: 814-373-2989 | |
Pioneer Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 Liberty St, Suite # 307, Meadville, PA 16335 Phone: 814-336-1140 Fax: 814-724-2196 | |
Meadville Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 747 Terrace St, Meadville, PA 16335 Phone: 814-373-2976 Fax: 814-333-7071 | |
Rebecca D. Lashbrook, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 280 Clinton Ct, Meadville, PA 16335 Phone: 814-333-8277 | |
Meadville Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1034 Grove St Ste G1, Meadville, PA 16335 Phone: 814-807-1202 Fax: 814-807-1210 | |
Clinical Practice Of Lecom Institute For Successful Living Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16954 Conneaut Lake Rd Ste B, Meadville, PA 16335 Phone: 814-868-2200 |