| Pefha Health & Wellness Center | |
|
10 Duff Rd Ste 103 Pittsburgh PA 15235-3261 | |
| (412) 241-4104 | |
| (412) 241-9567 |
| Full Name | Pefha Health & Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Duff Rd Ste 103, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Yvette Broadnax (PRESIDENT) |
| Authorized Official Contact | 4122414104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pefha Health & Wellness Center 10 Duff Rd Ste 103 Pittsburgh PA 15235-3261 Ph: (412) 241-4104 | Pefha Health & Wellness Center 10 Duff Rd Ste 103 Pittsburgh PA 15235-3261 Ph: (412) 241-4104 |
| NPI Number | 1578616637 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 6608839980 |
|---|---|
| Medicare Enrollment ID | O20041108000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578616637 | NPI | - | NPPES |
| 018405050003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD-72372L (Pennsylvania) | Primary |
| Provider Name | Yvette L Broadnax |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922014000 PECOS PAC ID: 3779546056 Enrollment ID: I20041122000221 |
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