| Mark Mitchell Malicki, MD | |
|
322 Warren St, Ste 300, Johnstown, PA 15905-3443 | |
| (814) 288-1418 | |
| (814) 288-1525 |
| Full Name | Mark Mitchell Malicki |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 322 Warren St, Johnstown, 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 |
|---|---|---|---|
| 1083619209 | NPI | - | NPPES |
| 0017621130005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD069004L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conemaugh Home Health | Johnstown, PA | Home health agency |
| Windber Hospice | Windber, PA | Hospice |
| Conemaugh Memorial Medical Center | Johnstown, PA | Hospital |
| Upmc Somerset | Somerset, PA | Hospital |
| Chan Soon- Shiong Medical Center At Windber | Windber, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vantage Physical Therapy And Rehabilitation Inc | 3072424886 | 185 |
| Richard M Kastelic Md And Assoc Pc | 8022094150 | 7 |
| Entity Name | Richard M Kastelic Md & Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821042417 PECOS PAC ID: 8022094150 Enrollment ID: O20040628001565 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Mitchell Malicki, MD 322 Warren St, Ste 300, Johnstown, PA 15905-3443 Ph: (814) 288-1418 | Mark Mitchell Malicki, MD 322 Warren St, Ste 300, Johnstown, PA 15905-3443 Ph: (814) 288-1418 |
Sai Harsha Bobba, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 Fax: 814-534-5599 | |
Bonifacio Tan Aguilera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 Terlyn Drive, Johnstown, PA 15904 Phone: 814-467-6378 | |
Dr. Sahar Elias, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904 Phone: 814-269-5200 Fax: 814-269-5070 | |
Sandeep Mahal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 | |
Fredrick William Munzer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 411 Theatre Dr, Johnstown, PA 15904 Phone: 814-269-4507 Fax: 814-288-0194 | |
Erica Korin Wentz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9106 |