Dr Michael Divella, DO | |
95 Leonard Ave Ste 202, Washington, PA 15301-3368 | |
(724) 986-7844 | |
Not Available |
Full Name | Dr Michael Divella |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 95 Leonard Ave Ste 202, Washington, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194258277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | OS023838 (Pennsylvania) | Primary |
Entity Name | Washington Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316917669 PECOS PAC ID: 6103719562 Enrollment ID: O20040209000011 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Divella, DO 95 Leonard Ave Ste 202, Washington, PA 15301-3368 Ph: (724) 206-0610 | Dr Michael Divella, DO 95 Leonard Ave Ste 202, Washington, PA 15301-3368 Ph: (724) 986-7844 |
Steven Magister, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 95 Leonard Ave, Washington, PA 15301 Phone: 724-206-0610 | |
Dr. Vincent J Ripepi, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Trich Dr, Suite 2, Washington, PA 15301 Phone: 724-225-8657 Fax: 724-228-8388 | |
Patrick T Mcculloch, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Trich Dr, Suite 2, Washington, PA 15301 Phone: 724-225-8657 Fax: 724-228-8388 | |
Sierra L Mathos, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Trich Dr Ste 2, Washington, PA 15301 Phone: 724-225-8657 Fax: 724-228-8388 | |
Dr. Armando Avolio Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Trich Dr, Suite 2, Washington, PA 15301 Phone: 724-225-8657 Fax: 724-228-8388 | |
John M Gibbons, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Trich Dr, Suite 2, Washington, PA 15301 Phone: 724-225-8657 Fax: 724-228-8388 |