| Dr Kevin Allan Mishock, DO | |
|
1800 E Park Ave, Mount Nittany Medical Center, State College, PA 16803-6701 | |
| (814) 234-6110 | |
| Not Available |
| Full Name | Dr Kevin Allan Mishock |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 1800 E Park Ave, State College, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063432896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS18411 (Florida) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | OS011815L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brevard Physician Associates Pllc | 1850535048 | 204 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Allan Mishock, DO 617 Purdue Mountain Rd, Bellefonte, PA 16823-8931 Ph: (814) 353-8922 | Dr Kevin Allan Mishock, DO 1800 E Park Ave, Mount Nittany Medical Center, State College, PA 16803-6701 Ph: (814) 234-6110 |
Jason Ferderber, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803 Phone: 814-237-4321 Fax: 814-235-0484 | |
Dr. Christine Louise Tichansky, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd, Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169 | |
Teresa Dolan, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, C/o Mount Nittany Medical Center, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Kasandra Ann Botti, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Ryan Michael Burton, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Mina Salib, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-375-4045 |