| William Diefenbach, | |
|
2374 Village Common Dr, Ste 100, Erie, PA 16506-7201 | |
| (814) 833-7246 | |
| Not Available |
| Full Name | William Diefenbach |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 2374 Village Common Dr, Erie, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740268812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | MD050177L (Pennsylvania) | Primary |
| Entity Name | Regional Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174520654 PECOS PAC ID: 4880593722 Enrollment ID: O20040108000694 |
| Entity Name | Allegheny Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
| Entity Name | Upmc Altoona Regional Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396724217 PECOS PAC ID: 5395659312 Enrollment ID: O20040312000257 |
| Entity Name | Tri-state Pain Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106323 PECOS PAC ID: 2860563152 Enrollment ID: O20080617000519 |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Entity Name | Great Lakes Physician Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141231000644 |
| Mailing Address | Practice Location Address |
|---|---|
| William Diefenbach, 2374 Village Common Dr, Ste 100, Erie, PA 16506-7201 Ph: () - | William Diefenbach, 2374 Village Common Dr, Ste 100, Erie, PA 16506-7201 Ph: (814) 833-7246 |
Arturo Camacho, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Myrtle St Ste L90, Erie, PA 16502 Phone: 814-452-7575 Fax: 814-452-7574 | |
Dr. Richard Norton Hall, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 6353 Meadowrue Ln, Erie, PA 16505 Phone: 814-833-6128 | |
Dr. Brian Edward Dalton, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 E 2nd St, Ste 401, Erie, PA 16507 Phone: 814-459-1013 Fax: 814-459-0435 | |
Jonathan Bellotte, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 State St Fl 4, 4th Floor, Suite 401, Erie, PA 16507 Phone: 814-877-5330 | |
Alejandro Javier Matos Cruz, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Myrtle St Ste L90, Erie, PA 16502 Phone: 814-452-7575 | |
Mrs. Elena I Fomchenko, MD, PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Myrtle St Ste L90, Erie, PA 16502 Phone: 814-452-7575 | |
Daniel J Muccio, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Myrtle St Ste L90, Erie, PA 16502 Phone: 814-452-7575 Fax: 814-452-7574 |