| Dr David A Wyszomierski, MD | |
|
210 Weldon St, Latrobe, PA 15650-1848 | |
| (724) 539-3535 | |
| (724) 532-0610 |
| Full Name | Dr David A Wyszomierski |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 210 Weldon St, Latrobe, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245235118 | NPI | - | NPPES |
| 101297 | Other | PA | HIGHMARK |
| 000972920003 | Medicaid | PA | |
| 812894 | Other | PA | AETNA HMO |
| 102996 | Other | PA | UPMC FOR YOU |
| 4278510 | Other | PA | AETNA MANAGED CHOICE |
| 163796 | Other | PA | THREE RIVERS MEDPLUS |
| P000880 | Other | PA | GATEWAY HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD030754E (Pennsylvania) | Primary |
| Entity Name | Latrobe Area Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336166974 PECOS PAC ID: 4183525595 Enrollment ID: O20040119000382 |
| Entity Name | Excela Health Physician Practices, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David A Wyszomierski, MD 214 Rebecca Dr, Latrobe, PA 15650-2278 Ph: (724) 537-0591 | Dr David A Wyszomierski, MD 210 Weldon St, Latrobe, PA 15650-1848 Ph: (724) 539-3535 |
Kali Theis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Excela Health Dr Ste 301, Latrobe, PA 15650 Phone: 724-537-1480 Fax: 724-539-6353 | |
Melanie Beth Semelka, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 5927 State Route 981, Suite 8, Latrobe, PA 15650 Phone: 724-537-2131 | |
Dr. Christine Lee Cheng-florendo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 108 Horner Ln, Latrobe, PA 15650 Phone: 724-537-2131 Fax: 724-537-2153 | |
Dr. Kathleen F Catalano, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Weldon St, Latrobe, PA 15650 Phone: 724-539-3535 Fax: 724-532-0610 |