| Penn Highlands Brookville Cardiology Ekg | |
|
100 Hospital Rd Brookville PA 15825 | |
| (814) 849-1842 | |
| Not Available |
| Full Name | Penn Highlands Brookville Cardiology Ekg |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Hospital Rd, Brookville, Pennsylvania |
| Authorized Official Name and Position | Tanya L Mccandless (SENIOR BILLER) |
| Authorized Official Contact | 8148491842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Highlands Brookville Cardiology Ekg 100 Hospital Rd Brookville PA 15825-1367 Ph: (814) 849-1842 | Penn Highlands Brookville Cardiology Ekg 100 Hospital Rd Brookville PA 15825 Ph: (814) 849-1842 |
| NPI Number | 1780826438 |
|---|---|
| Provider Enumeration Date | 03/26/2009 |
| Last Update Date | 08/16/2018 |
| Medicare PECOS PAC ID | 3072579598 |
|---|---|
| Medicare Enrollment ID | O20100115000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780826438 | NPI | - | NPPES |
| 1007733760004 | Medicaid | PA | |
| 170134 | Other | MC PTAN |
| Provider Name | Jayaseelan Ambrose |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437155363 PECOS PAC ID: 9931093416 Enrollment ID: I20040216000004 |
| Provider Name | Steven Warren Graeca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295765030 PECOS PAC ID: 7315994548 Enrollment ID: I20050331000326 |
| Provider Name | Zuhdi M Dajani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861501702 PECOS PAC ID: 4789755240 Enrollment ID: I20080611000576 |
| Provider Name | Prasad D Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659686970 PECOS PAC ID: 3870788672 Enrollment ID: I20101105000830 |
| Provider Name | Brent A Barnes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114170248 PECOS PAC ID: 0648414508 Enrollment ID: I20130913000630 |
| Provider Name | Steven Sprankle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801043146 PECOS PAC ID: 9032353784 Enrollment ID: I20141023001570 |
| Provider Name | Grace M Wenzel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467640524 PECOS PAC ID: 2860631587 Enrollment ID: I20190605002290 |
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