| Patrick T Lally, MD | |
|
911 Ligonier St, Ste 102, Latrobe, PA 15650-1805 | |
| (724) 537-6500 | |
| (724) 537-7516 |
| Full Name | Patrick T Lally |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 911 Ligonier St, Latrobe, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447253331 | NPI | - | NPPES |
| 0009123600001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD024010E (Pennsylvania) | Primary |
| Entity Name | Aspen Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518960814 PECOS PAC ID: 9234123266 Enrollment ID: O20040413000642 |
| Entity Name | Aspen Valley Hospital Clinics, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003306168 PECOS PAC ID: 3375891013 Enrollment ID: O20180813000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick T Lally, MD 911 Ligonier St, Ste 102, Latrobe, PA 15650-1805 Ph: (724) 537-6500 | Patrick T Lally, MD 911 Ligonier St, Ste 102, Latrobe, PA 15650-1805 Ph: (724) 537-6500 |
Michael A Vittone, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1010 Ligonier St, Latrobe, PA 15650 Phone: 724-539-1671 Fax: 724-539-1654 | |
Ronald B Vittone, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1010 Ligonier St, Latrobe, PA 15650 Phone: 724-539-1671 Fax: 724-539-1654 |