| Logan Taylor Sicchitano, PA-C | |
|
100 Medical Blvd, Canonsburg, PA 15317-9762 | |
| (724) 745-3077 | |
| Not Available |
| Full Name | Logan Taylor Sicchitano |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 100 Medical Blvd, Canonsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124594916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA060050 (Pennsylvania) | Primary |
| Entity Name | Ahn Emergency Group of West Penn Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033534490 PECOS PAC ID: 1759504962 Enrollment ID: O20140515001224 |
| Entity Name | Ahn Emergency Group of Canonsburg Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790100154 PECOS PAC ID: 2668695834 Enrollment ID: O20140516000943 |
| Entity Name | Ahn Hospitalist Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770984304 PECOS PAC ID: 1153543251 Enrollment ID: O20141105000169 |
| Entity Name | Ahn Emergency Group of Jefferson Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518499 PECOS PAC ID: 0345552527 Enrollment ID: O20150630002216 |
| Entity Name | Ahn Observation Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437814696 PECOS PAC ID: 1557753811 Enrollment ID: O20220118001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Taylor Sicchitano, PA-C 103 1st St, Bentleyville, PA 15314-1205 Ph: Not Available | Logan Taylor Sicchitano, PA-C 100 Medical Blvd, Canonsburg, PA 15317-9762 Ph: (724) 745-3077 |
Meredith Caroline Liddle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Blvd, Canonsburg, PA 15317 Phone: 412-469-7110 |
Angelie Noelle Tolentino, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Blvd, Canonsburg, PA 15317 Phone: 412-359-3030 Fax: 412-359-3060 |
Brittany Dubois, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3055 Washington Rd Ste 203, Canonsburg, PA 15317 Phone: 724-260-5424 |
Adriana Dunay, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Waterdam Plaza Dr Ste 2, Canonsburg, PA 15317 Phone: 724-941-7490 Fax: 724-941-5231 |
Julia Bonfessuto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 161 Waterdam Rd Apt 120, Canonsburg, PA 15317 Phone: 412-359-8900 Fax: 412-359-8977 |
Amanda Rae Hofmann, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 453 Valley Brook Rd, Canonsburg, PA 15317 Phone: 724-544-0916 |
Megan Elizabeth Steen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 Main St Ste 125, Canonsburg, PA 15317 Phone: 412-429-1151 |