| Edward Richard Prostko, MD | |
|
380 W Chestnut St Ste 101, Washington, PA 15301-4658 | |
| (724) 228-1414 | |
| (724) 228-8579 |
| Full Name | Edward Richard Prostko |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 380 W Chestnut St Ste 101, 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 |
|---|---|---|---|
| 1336134840 | NPI | - | NPPES |
| 10934442 | Other | CAQH | |
| 000888021 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | MD024694E (Pennsylvania) | Primary |
| Entity Name | Allegheny Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Richard Prostko, MD 380 W Chestnut St Ste 101, Washington, PA 15301-4658 Ph: (724) 228-1414 | Edward Richard Prostko, MD 380 W Chestnut St Ste 101, Washington, PA 15301-4658 Ph: (724) 228-1414 |
Donald M Whiting, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 380 W Chestnut St Ste 101, Washington, PA 15301 Phone: 724-228-1414 Fax: 724-228-8579 | |
Nestor D Tomycz, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 380 W Chestnut St Ste 101, Washington, PA 15301 Phone: 724-228-1414 Fax: 724-228-8579 | |
Dr. Frank T Vertosick, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 380 W Chestnut St, Suite 101, Washington, PA 15301 Phone: 724-228-1414 Fax: 724-228-8579 |