Myhealthcaremd | |
633 Maple Ave Du Bois PA 15801-2383 | |
(814) 371-4443 | |
(814) 371-5287 |
Full Name | Myhealthcaremd |
---|---|
Speciality | Internal Medicine |
Location | 633 Maple Ave, Du Bois, Pennsylvania |
Authorized Official Name and Position | Howard Fugate (PRESIDENT) |
Authorized Official Contact | 8143714443 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Myhealthcaremd 633 Maple Ave Po Box #348 Du Bois PA 15801-2383 Ph: (814) 371-4443 | Myhealthcaremd 633 Maple Ave Du Bois PA 15801-2383 Ph: (814) 371-4443 |
NPI Number | 1538105002 |
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Provider Enumeration Date | 06/21/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6507754314 |
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Medicare Enrollment ID | O20040304000867 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538105002 | NPI | - | NPPES |
0010487980002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD031608E (Pennsylvania) | Primary |
Provider Name | Howard Fugate |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093748931 PECOS PAC ID: 4385532191 Enrollment ID: I20040423000783 |
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