| Michael Joseph Dziagwa I, NP-C | |
|
879 Hospital Rd, Indiana, PA 15701-3629 | |
| (724) 357-8198 | |
| (724) 357-8202 |
| Full Name | Michael Joseph Dziagwa I |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 879 Hospital Rd, Indiana, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649623679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F0716288 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana Regional Medical Center | Indiana, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana Healthcare Physician Services Inc | 5294723359 | 123 |
| Entity Name | Indiana Healthcare Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578523429 PECOS PAC ID: 5294723359 Enrollment ID: O20040927000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Joseph Dziagwa I, NP-C 640 Kolter Dr, Indiana, PA 15701-3570 Ph: (724) 357-7196 | Michael Joseph Dziagwa I, NP-C 879 Hospital Rd, Indiana, PA 15701-3629 Ph: (724) 357-8198 |
Mrs. Cissy Elizabeth Bassett, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 Warren Rd, Indiana, PA 15701 Phone: 724-349-5620 | |
Dawn Diane Roberson, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1097 Oak St, Indiana, PA 15701 Phone: 724-349-2022 Fax: 724-349-8735 | |
Mr. Mark W Boyd, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Mill Run Dr, Indiana, PA 15701 Phone: 724-554-2488 | |
Kangsun Jin, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 793 Old Route 119 Hwy N, Indiana, PA 15701 Phone: 888-686-1991 | |
Shelby Marie Hawk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1097 Oak St, Indiana, PA 15701 Phone: 724-349-2022 | |
Debra Murdick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Hospital Rd Ste 1300, Suite 1300, Indiana, PA 15701 Phone: 724-349-9444 | |
Patricia Carol Peoples, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 793 Old Route 119 Hwy N, Indiana, PA 15701 Phone: 888-686-1991 |