| Michelle R Sredy, MD | |
|
1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | |
| (814) 266-8840 | |
| (814) 266-2176 |
| Full Name | Michelle R Sredy |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1322 Eisenhower Blvd, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174536676 | NPI | - | NPPES |
| 0015334060002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD053556L (Pennsylvania) | Primary |
| Entity Name | Pediatric Care Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346236833 PECOS PAC ID: 9537333604 Enrollment ID: O20111130000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle R Sredy, MD 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 Ph: (814) 266-8840 | Michelle R Sredy, MD 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 Ph: (814) 266-8840 |
Dr. Venkata R Dharbhamulla, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-536-8969 Fax: 814-536-7180 | |
Ms. Linsey Joy Donoughe, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9794 Fax: 814-534-3479 | |
Johnnie Wilson Barto, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 814-262-9500 Fax: 814-262-7303 | |
Karl Berger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 Franklin St, Franklin Street Pediatrics, Johnstown, PA 15905 Phone: 814-536-8956 Fax: 814-539-6601 | |
Stephanie Ann Porter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 814-262-9500 Fax: 814-262-9142 | |
Dr. Bradley Russell Drennen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 |