| Randy R. Shemer D.o. L.l.c. | |
|
3419 Brodhead Rd Monaca PA 15061-3131 | |
| (724) 770-0771 | |
| (724) 770-0607 |
| Full Name | Randy R. Shemer D.o. L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3419 Brodhead Rd, Monaca, Pennsylvania |
| Authorized Official Name and Position | Randy Robert Shemer (OWNER) |
| Authorized Official Contact | 7277700771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy R. Shemer D.o. L.l.c. 3419 Brodhead Rd Monaca PA 15061-3131 Ph: (724) 770-0771 | Randy R. Shemer D.o. L.l.c. 3419 Brodhead Rd Monaca PA 15061-3131 Ph: (724) 770-0771 |
| NPI Number | 1336273218 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 05/27/2011 |
| Medicare PECOS PAC ID | 0840363495 |
|---|---|
| Medicare Enrollment ID | O20080716000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336273218 | NPI | - | NPPES |
| 0015442300007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS-008808L (Pennsylvania) | Primary |
| Provider Name | Benjamin A Laracuente |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336146968 PECOS PAC ID: 2668468257 Enrollment ID: I20040421000151 |
| Provider Name | Randy R Shemer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376567610 PECOS PAC ID: 3577636125 Enrollment ID: I20080716000047 |
| Provider Name | Alan E Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124003157 PECOS PAC ID: 1850369489 Enrollment ID: I20140116000225 |
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