| Prime Medical Group Pcg1 | |
|
1200 Brooks Ln Ste 110 Clairton PA 15025-3749 | |
| (412) 466-5502 | |
| (412) 469-8948 |
| Full Name | Prime Medical Group Pcg1 |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Brooks Ln Ste 110, Clairton, Pennsylvania |
| Authorized Official Name and Position | Denise Noel (DIRECTOR PROVIDER ENROLMENT) |
| Authorized Official Contact | 4123305861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Medical Group Pcg1 4 Allegheny Ctr Fl 7 Pittsburgh PA 15212-5255 Ph: (412) 330-5861 | Prime Medical Group Pcg1 1200 Brooks Ln Ste 110 Clairton PA 15025-3749 Ph: (412) 466-5502 |
| NPI Number | 1679712764 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 11/06/2020 |
| Medicare PECOS PAC ID | 7810054541 |
|---|---|
| Medicare Enrollment ID | O20090430000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679712764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Carolyn H Todaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114903770 PECOS PAC ID: 8628978400 Enrollment ID: I20040109000148 |
| Provider Name | Ambaram V Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184603383 PECOS PAC ID: 7517868714 Enrollment ID: I20040120000521 |
| Provider Name | James C Solava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144487745 PECOS PAC ID: 4486725447 Enrollment ID: I20080618000555 |
| Provider Name | Kimberly E Behana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003801168 PECOS PAC ID: 3678621513 Enrollment ID: I20090501000343 |
| Provider Name | Dawn Bocianoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144250986 PECOS PAC ID: 7911055850 Enrollment ID: I20090501000357 |
| Provider Name | Cheryl Hranicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629086574 PECOS PAC ID: 5496931404 Enrollment ID: I20110509000490 |
| Provider Name | Bruno J Casile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275762080 PECOS PAC ID: 6800043019 Enrollment ID: I20121126000020 |
| Provider Name | Matthew G Walton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780904763 PECOS PAC ID: 3678791738 Enrollment ID: I20140903000080 |
| Provider Name | Aubree Gauden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174996912 PECOS PAC ID: 4789986506 Enrollment ID: I20160111000638 |
| Provider Name | Ashley Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295248961 PECOS PAC ID: 6901145374 Enrollment ID: I20190228002940 |
| Provider Name | Amber Renee Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972133379 PECOS PAC ID: 9739518267 Enrollment ID: I20200406000417 |
| Provider Name | Hollynn P Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699201426 PECOS PAC ID: 4688932734 Enrollment ID: I20201215000184 |
Jefferson Assoc In Internal Med Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Coal Valley Rd, Suite 405, Clairton, PA 15025 Phone: 412-466-6161 Fax: 412-466-0614 | |
South Hills Gastroenterology Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooks Ln, Ste G10, Clairton, PA 15025 Phone: 412-469-5914 Fax: 412-469-7004 | |
Cornerstone Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 559 Miller Ave, Clairton, PA 15025 Phone: 724-943-3308 | |
Shih-chieh Lo , Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Brooks Lane, Suite 280, Clairton, PA 15025 Phone: 412-466-1203 | |
Prime Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Brooks Ln, Suite 110, Clairton, PA 15025 Phone: 724-929-4930 Fax: 724-929-4308 | |
South Hills Nephrology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Coal Valley Rd, Ste 264, Clairton, PA 15025 Phone: 412-466-2220 Fax: 412-466-4048 |