| Dr Alec James Divito, MD | |
|
101 Freeport Rd, Aspinwall, PA 15215-2943 | |
| (412) 444-8636 | |
| (844) 688-8724 |
| Full Name | Dr Alec James Divito |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 101 Freeport Rd, Aspinwall, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811563109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD484982 (Pennsylvania) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alec James Divito, MD 101 Freeport Rd, Aspinwall, PA 15215-2943 Ph: (412) 444-8636 | Dr Alec James Divito, MD 101 Freeport Rd, Aspinwall, PA 15215-2943 Ph: (412) 444-8636 |
Mary Margaret Leeman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 Freeport Rd, Aspinwall, PA 15215 Phone: 412-444-8636 |
Sailaja Allanki, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 135 Freeport Rd, Suite B, Aspinwall, PA 15215 Phone: 412-782-6909 Fax: 412-782-6920 |
Monique Elise Simpson, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 101 Freeport Rd, Aspinwall, PA 15215 Phone: 412-444-8636 Fax: 844-688-8724 |