| Mark H Shelley, MD | |
|
1 Willow St, Port Allegany, PA 16743-1332 | |
| (814) 642-9531 | |
| (814) 642-2020 |
| Full Name | Mark H Shelley |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 1 Willow St, Port Allegany, 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 |
|---|---|---|---|
| 1336106954 | NPI | - | NPPES |
| 001403288001 | Medicaid | PA | |
| 75710 | Other | PA | HIGHMARK BLUE SHIELD |
| 080023500 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD029656E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vna Of Northwest Pa, Llc | Bradford, PA | Home health agency |
| Olean General Hospital | Olean, NY | Hospital |
| Upmc Cole | Coudersport, PA | Hospital |
| Sena Kean Nursing And Rehabilitation Center | Smethport, PA | Nursing home |
| Sweden Valley Manor | Coudersport, PA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Port Allegany Area Family Practice Pc | 4789669144 | 2 |
| Entity Name | Port Allegany Area Family Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962469486 PECOS PAC ID: 4789669144 Enrollment ID: O20040621000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark H Shelley, MD 1 Willow St, Port Allegany, PA 16743-1332 Ph: (814) 642-9531 | Mark H Shelley, MD 1 Willow St, Port Allegany, PA 16743-1332 Ph: (814) 642-9531 |
Jason Tronetti, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Pine Street, Port Allegany, PA 16743 Phone: 814-642-9655 |