| Mason Charles Donahue, | |
|
224 Longfellow St Ste 200, Vandergrift, PA 15690-1476 | |
| (724) 568-5551 | |
| (724) 568-3137 |
| Full Name | Mason Charles Donahue |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 224 Longfellow St Ste 200, Vandergrift, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093407736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP031385 (Pennsylvania) | Primary |
| Entity Name | Thompson Enterprises Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497128367 PECOS PAC ID: 2264718188 Enrollment ID: O20170407000946 |
| Entity Name | Bios Wellness Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730775511 PECOS PAC ID: 7214306323 Enrollment ID: O20221213000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Charles Donahue, 224 Longfellow St Ste 200, Vandergrift, PA 15690-1476 Ph: (724) 568-5551 | Mason Charles Donahue, 224 Longfellow St Ste 200, Vandergrift, PA 15690-1476 Ph: (724) 568-5551 |
Ms. Jamie Karlo, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 224 Longfellow St Ste 200, Vandergrift, PA 15690 Phone: 724-568-5551 Fax: 724-568-3137 | |
Mrs. Lori Michele Shotts, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Holmes St, Vandergrift, PA 15690 Phone: 412-680-8250 Fax: 724-389-6734 | |
Janelle Corcoran, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 224 Longfellow St Ste 200, Vandergrift, PA 15690 Phone: 724-568-5551 |