| Sky Sports Medicine, Pllc | |
|
715 Dorseyville Rd Unit H2 Pittsburgh PA 15238-1124 | |
| (412) 963-7350 | |
| (412) 963-7419 |
| Full Name | Sky Sports Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 715 Dorseyville Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Eric Joseph Skvarla (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4123108942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sky Sports Medicine, Pllc 715 Dorseyville Rd Unit H2 Pittsburgh PA 15238-1124 Ph: (412) 963-7350 | Sky Sports Medicine, Pllc 715 Dorseyville Rd Unit H2 Pittsburgh PA 15238-1124 Ph: (412) 963-7350 |
| NPI Number | 1073905295 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 01/04/2022 |
| Medicare PECOS PAC ID | 3577875848 |
|---|---|
| Medicare Enrollment ID | O20150630001720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073905295 | NPI | - | NPPES |
| 417985 | Other | PA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS014379 (Pennsylvania) | Primary |
| Provider Name | Kristine Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235160854 PECOS PAC ID: 6002978632 Enrollment ID: I20081216000452 |
| Provider Name | Eric J Skvarla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205076197 PECOS PAC ID: 8921153271 Enrollment ID: I20090910000051 |
| Provider Name | Victoria Schuster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619392156 PECOS PAC ID: 6507127586 Enrollment ID: I20180308001069 |
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