| Holly Ann Tice, CRNP | |
|
1 Hospital Dr Bldg 2600, Aliquippa, PA 15001-2150 | |
| (724) 304-4950 | |
| (412) 279-3416 |
| Full Name | Holly Ann Tice |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1 Hospital Dr Bldg 2600, Aliquippa, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467899211 | NPI | - | NPPES |
| SP012800 | Other | PA | LICENSE NUMBER |
| SP012800 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SP012800 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Personal Care Medical Associates, Llc | 1456344084 | 46 |
| Entity Name | Personal Care Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922427962 PECOS PAC ID: 1456344084 Enrollment ID: O20040407001274 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Ann Tice, CRNP 1 Hospital Dr Bldg 2600, Aliquippa, PA 15001-2150 Ph: (724) 304-4950 | Holly Ann Tice, CRNP 1 Hospital Dr Bldg 2600, Aliquippa, PA 15001-2150 Ph: (724) 304-4950 |
Dr. James K Tatum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2299 Brodhead Rd, Aliquippa, PA 15001 Phone: 724-378-8484 Fax: 724-773-8966 | |
Dr. Ganapathi Rao Moka, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2450 Mill St, Aliquippa, PA 15001 Phone: 724-375-1066 Fax: 724-375-8004 | |
Dr. James N Priola, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Buss Rd, Aliquippa, PA 15001 Phone: 724-378-6640 Fax: 724-378-6619 | |
Madelyn Rose Ensslin, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Aliquippa, PA 15001 Phone: 724-857-9640 | |
Patricia Joan Bonitatibus, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Woodlawn Rd, Aliquippa, PA 15001 Phone: 724-857-9640 | |
Dr. Luigi R Forcella, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 Hospital Drive, Aliquippa, PA 15001 Phone: 724-561-6961 Fax: 724-774-9057 |