| Olivero Pediatrics | |
|
1243 Skytop Mountain Rd Ste 4 Port Matilda PA 16870-7725 | |
| (814) 499-3009 | |
| (814) 470-4421 |
| Full Name | Olivero Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1243 Skytop Mountain Rd Ste 4, Port Matilda, Pennsylvania |
| Authorized Official Name and Position | Daniel Olivero (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8144993009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olivero Pediatrics 1243 Skytop Mountain Rd. Suite 4 Port Matilda PA 16870-7725 Ph: (814) 499-3009 | Olivero Pediatrics 1243 Skytop Mountain Rd Ste 4 Port Matilda PA 16870-7725 Ph: (814) 499-3009 |
| NPI Number | 1386159564 |
|---|---|
| Provider Enumeration Date | 12/09/2017 |
| Last Update Date | 02/24/2023 |
| Medicare PECOS PAC ID | 4789944083 |
|---|---|
| Medicare Enrollment ID | O20180206001732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386159564 | NPI | - | NPPES |
| 1030548210001 | Medicaid | PA |
| Provider Name | Daniel Olivero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902144512 PECOS PAC ID: 0446567796 Enrollment ID: I20150918000069 |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Abigail Lane, Port Matilda, PA 16870 Phone: 814-272-7100 | |
Olivero Rural Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1243 Skytop Mountain Rd, Port Matilda, PA 16870 Phone: 814-499-3009 Fax: 814-470-4421 | |
Geisinger Lewistown Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-5011 Fax: 814-272-6531 |