| Wally N Novero, MD | |
|
2375 Garden Way, Hermitage, PA 16148 | |
| (724) 983-5454 | |
| (724) 983-5401 |
| Full Name | Wally N Novero |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2375 Garden Way, Hermitage, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598752966 | NPI | - | NPPES |
| 1012083480001 | Medicaid | PA | |
| 1687402 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD425454 (Pennsylvania) | Primary |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902347438 PECOS PAC ID: 2860688728 Enrollment ID: O20170524000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Wally N Novero, MD 143 Hermitage Hills Blvd, Hermitage, PA 16148 Ph: (724) 977-2501 | Wally N Novero, MD 2375 Garden Way, Hermitage, PA 16148 Ph: (724) 983-5454 |
Kathy Marie Piston, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3120 Highland Rd, Hermitage, PA 16148 Phone: 724-342-2663 | |
Dr. Jose W Santiago, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2375 Garden Way, Hermitage, PA 16148 Phone: 724-983-5454 Fax: 724-983-5914 | |
Dr. Steven O. Riggall, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2375 Garden Way, Hermitage, PA 16148 Phone: 724-983-5454 Fax: 724-983-5465 |