| Penn Highlands Wound Care Center | |
|
635 Maple Ave Du Bois PA 15801-2376 | |
| (814) 371-4320 | |
| (814) 375-0984 |
| Full Name | Penn Highlands Wound Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 635 Maple Ave, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Brian S Kline (VP & CFO) |
| Authorized Official Contact | 8143756377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Highlands Wound Care Center 100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 371-4320 | Penn Highlands Wound Care Center 635 Maple Ave Du Bois PA 15801-2376 Ph: (814) 371-4320 |
| NPI Number | 1487937199 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 02/23/2016 |
| Medicare PECOS PAC ID | 5890689715 |
|---|---|
| Medicare Enrollment ID | O20111107000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487937199 | NPI | - | NPPES |
| 1007740880070 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Gregory Allan Sachs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063488781 PECOS PAC ID: 8820060478 Enrollment ID: I20040812000820 |
| Provider Name | Kelley Renee Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336157676 PECOS PAC ID: 6800861261 Enrollment ID: I20040830000275 |
| Provider Name | Courtney D Johnson-mckissick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831399385 PECOS PAC ID: 4385790344 Enrollment ID: I20090917000091 |
| Provider Name | Shalva Kakabadze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962465427 PECOS PAC ID: 9739103821 Enrollment ID: I20110630000490 |
| Provider Name | Pamela A |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841655669 PECOS PAC ID: 1456655059 Enrollment ID: I20160202000675 |
| Provider Name | Mary E Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962917245 PECOS PAC ID: 5991065955 Enrollment ID: I20180212002781 |
My Care Now, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Beaver Dr, Building C, Du Bois, PA 15801 Phone: 814-371-2273 Fax: 814-371-2500 | |
Penn Highlands Family Medicine - Kozloski & Usaitis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave Ste 205, Du Bois, PA 15801 Phone: 814-375-3911 Fax: 814-375-4424 | |
Dubois Regional Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave Ste 104, Du Bois, PA 15801 Phone: 814-375-8055 Fax: 814-375-8056 | |
Penn Highlands Family Medicine - Lang Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 W Park Ave, Suite 7, Du Bois, PA 15801 Phone: 814-375-1222 Fax: 814-375-9336 | |
Penn Highlands Family Medicine - Austin & Maloney Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave, Suite 313, Du Bois, PA 15801 Phone: 814-375-3912 Fax: 814-375-5258 | |
Skilled Medpros Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Fallen Timber Dr, Du Bois, PA 15801 Phone: 814-591-2495 Fax: 866-832-1744 | |
Penn Highlands Endocrinology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Hospital Ave, Suite 101, Du Bois, PA 15801 Phone: 814-375-4089 Fax: 814-375-4067 |