| Mr Gregory A Custer, PAC | |
|
188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 | |
| (814) 471-9005 | |
| (814) 471-9007 |
| Full Name | Mr Gregory A Custer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 188 Industrial Park Rd, Ebensburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043389976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA051350 (Pennsylvania) | Primary |
| 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 | Dlp Conemaugh Memorial Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669873881 PECOS PAC ID: 8022238682 Enrollment ID: O20141015000769 |
| Entity Name | Ahn Emergency Group of Indiana County Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821475872 PECOS PAC ID: 9739409095 Enrollment ID: O20150528000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory A Custer, PAC 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 Ph: (814) 471-9005 | Mr Gregory A Custer, PAC 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 Ph: (814) 471-9005 |
Maria Louise Schiller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 167 Zeman Dr, Ebensburg, PA 15931 Phone: 814-472-9119 |
Kenneth Billings, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 429 Manor Dr, Ebensburg, PA 15931 Phone: 814-472-6060 |
Linda Diane Mardula, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 236 Jamesway Rd, Ebensburg, PA 15931 Phone: 814-410-8344 Fax: 814-410-8331 |
Breonna Kali Truscello, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 167 Zeman Dr, Ebensburg, PA 15931 Phone: 814-472-9119 |
Cynthia Cunningham, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 Manor Dr, Entrance 12, Ebensburg, PA 15931 Phone: 814-472-7330 |
Mrs. Elizabeth J Woods, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931 Phone: 814-471-9005 Fax: 814-471-9007 |
Mrs. Julie Anne Reitnauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 W High St, Ebensburg, PA 15931 Phone: 814-472-7933 |