| Michael R Halter, DO | |
|
225 Hospital Dr, Tyrone, PA 16686-1802 | |
| (814) 684-3101 | |
| (814) 684-5539 |
| Full Name | Michael R Halter |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 225 Hospital Dr, Tyrone, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134199219 | NPI | - | NPPES |
| 0011699530004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006556L (Pennsylvania) | Primary |
| Entity Name | Tyrone Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659472447 PECOS PAC ID: 4183619885 Enrollment ID: O20040420000610 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Halter, DO 225 Hospital Dr, Tyrone, PA 16686-1802 Ph: (814) 684-3101 | Michael R Halter, DO 225 Hospital Dr, Tyrone, PA 16686-1802 Ph: (814) 684-3101 |
Ronald W Gregory, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Penna Ave, Tyrone, PA 16686 Phone: 814-684-2100 Fax: 814-684-5828 | |
Dr. Ryan Anthony Lani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pennsylvania Ave, Tyrone, PA 16686 Phone: 814-684-2100 | |
Jason Henninger, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 863 S Lincoln Ave, Bellwood Office, Tyrone, PA 16686 Phone: 814-684-1245 |