| Ethan Nulton, DO | |
|
565 Coal Valley Rd, Jefferson Hills, PA 15025-3703 | |
| (412) 267-6810 | |
| (412) 267-6817 |
| Full Name | Ethan Nulton |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 10 Years |
| Location | 565 Coal Valley Rd, Jefferson Hills, 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 |
|---|---|---|---|
| 1356793897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OT017160 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | OS019964 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Nittany Medical Center | State college, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3432 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Allegheny Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
| Entity Name | Geisinger-hm Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Nulton, DO 565 Coal Valley Rd, Jefferson Hills, PA 15025-3703 Ph: (412) 267-6810 | Ethan Nulton, DO 565 Coal Valley Rd, Jefferson Hills, PA 15025-3703 Ph: (412) 267-6810 |
Sangeeta Lakshmi Komerally, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-267-6810 Fax: 412-267-6817 |
Olena Dutton, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-267-6810 |
Madhavi Boga, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-267-6810 |
Ms. Carley Lyn Rosso, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-267-6810 Fax: 412-267-9817 |
Frances Pucharich, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-267-6810 Fax: 412-267-6817 |
Dr. Kevin Thomas Shaw, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-267-6810 Fax: 412-267-6817 |
Zachary Ethan Lahr, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 |