| Juan Antonio Lora, MD | |
|
6521 Route 22, Delmont, PA 15626-2402 | |
| (724) 836-5500 | |
| (724) 836-3286 |
| Full Name | Juan Antonio Lora |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6521 Route 22, Delmont, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497868509 | NPI | - | NPPES |
| 01622471 | Medicaid | PA | |
| 0016224710002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD045085L (Pennsylvania) | Primary |
| Entity Name | Excela Health Physician Practices, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Antonio Lora, MD 520 Jefferson Ave, Suite 400, Jeannette, PA 15644-2538 Ph: (724) 527-8060 | Juan Antonio Lora, MD 6521 Route 22, Delmont, PA 15626-2402 Ph: (724) 836-5500 |
Mary Ann Hynes, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6530 Route 22, Suite 110, Delmont, PA 15626 Phone: 724-468-6477 | |
Rachelle Lynn Johns, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6521 Route 22, Delmont, PA 15626 Phone: 724-836-5500 Fax: 724-836-3286 | |
George Wahal, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6530 Route 22, Suite 100, Delmont, PA 15626 Phone: 724-468-6477 | |
Kabir Ariff, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6530 Route 22, Suite 110, Delmont, PA 15626 Phone: 724-468-6477 | |
Andrew Margolis, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6530 Route 22, Suite 110, Delmont, PA 15626 Phone: 724-468-6477 |