| Metabolic Disease Associates, Inc. | |
|
240 W 11th St 2nd Floor Erie PA 16501-1758 | |
| (814) 452-2218 | |
| (814) 452-4639 |
| Full Name | Metabolic Disease Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 240 W 11th St, Erie, Pennsylvania |
| Authorized Official Name and Position | Luis Felipe Aparicio (OWNER/PRESIDENT) |
| Authorized Official Contact | 8144522218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metabolic Disease Associates, Inc. 240 W 11th St 2nd Floor Erie PA 16501-1758 Ph: (814) 452-2218 | Metabolic Disease Associates, Inc. 240 W 11th St 2nd Floor Erie PA 16501-1758 Ph: (814) 452-2218 |
| NPI Number | 1639119142 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 12/18/2019 |
| Medicare PECOS PAC ID | 5799686614 |
|---|---|
| Medicare Enrollment ID | O20040115000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639119142 | NPI | - | NPPES |
| 00074515580001 | Medicaid | PA | |
| 68499 | Other | PA | UNISON |
| CB5117 | Other | PA | RAIL RAOD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ajit Shah |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1245227735 PECOS PAC ID: 4082512942 Enrollment ID: I20031230000382 |
| Provider Name | Stanley F Slabic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285626358 PECOS PAC ID: 5799754370 Enrollment ID: I20040930000148 |
| Provider Name | Luis F Aparicio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508826926 PECOS PAC ID: 7618030644 Enrollment ID: I20090116000224 |
| Provider Name | Morgan Timothy Holmes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144220732 PECOS PAC ID: 5092904979 Enrollment ID: I20110107000101 |
| Provider Name | Renee Suzanne Caryl |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952607871 PECOS PAC ID: 3274711783 Enrollment ID: I20110706000219 |
| Provider Name | Fernando Emidio Melaragno |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912161613 PECOS PAC ID: 6305160219 Enrollment ID: I20150126000904 |
| Provider Name | Myriam Elkosseifi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225385693 PECOS PAC ID: 5799087433 Enrollment ID: I20171114002954 |
| Provider Name | Nicole Marie Letto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619518297 PECOS PAC ID: 4082041355 Enrollment ID: I20200226001044 |
| Provider Name | Padmaja Chilukoti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053704148 PECOS PAC ID: 5597030205 Enrollment ID: I20220412002626 |
| Provider Name | Ann Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780307736 PECOS PAC ID: 6608232111 Enrollment ID: I20230525000071 |
| Provider Name | Taylor Hasychak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699546317 PECOS PAC ID: 4284076266 Enrollment ID: I20240522001280 |
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