| Ashley Nicole Bertram, PA-C | |
|
123 Hospital Avenue, Du Bois, PA 15801-1409 | |
| (814) 371-1510 | |
| (814) 371-2922 |
| Full Name | Ashley Nicole Bertram |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 123 Hospital Avenue, Du Bois, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053714642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA057218 (Pennsylvania) | Primary |
| Entity Name | Dubois Regional Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285728915 PECOS PAC ID: 8022917269 Enrollment ID: O20040119000522 |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245410554 PECOS PAC ID: 5890689715 Enrollment ID: O20040426000432 |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801094222 PECOS PAC ID: 5890689715 Enrollment ID: O20131214000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Nicole Bertram, PA-C 100 Hospital Ave, Du Bois, PA 15801-1440 Ph: (814) 371-2200 | Ashley Nicole Bertram, PA-C 123 Hospital Avenue, Du Bois, PA 15801-1409 Ph: (814) 371-1510 |
Mrs. Autumn Nicole Malliard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave Ste 300, Du Bois, PA 15801 Phone: 814-375-2040 Fax: 814-375-2045 |
Gregory Louis Carpenter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave, Suite 311, Du Bois, PA 15801 Phone: 814-375-3750 Fax: 814-375-9624 |
Nicholas E Sipes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-3261 Fax: 814-375-3397 |
Lauren Elizabeth Quick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave Ste 311, Du Bois, PA 15801 Phone: 814-231-2101 |
Melissa Marie Hilliard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave, Suite 301, Du Bois, PA 15801 Phone: 814-375-4000 Fax: 814-375-4011 |
Kristina Marie Hoover, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-771-2141 |
Brady Martin Skiles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-371-2200 |