| Mr Martin Elkanah Omukhango, FNP-BC | |
|
362 Lincoln Ave, Bellevue, PA 15202-3756 | |
| (412) 734-1100 | |
| Not Available |
| Full Name | Mr Martin Elkanah Omukhango |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 362 Lincoln Ave, Bellevue, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316670052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP025870 (Pennsylvania) | Primary |
| Entity Name | St Vincent Medical Education And Research Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576 |
| Entity Name | Allegheny Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Martin Elkanah Omukhango, FNP-BC 362 Lincoln Ave, Bellevue, PA 15202-3756 Ph: (412) 734-1100 | Mr Martin Elkanah Omukhango, FNP-BC 362 Lincoln Ave, Bellevue, PA 15202-3756 Ph: (412) 734-1100 |
Margaret Willoughby, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 Lincoln Ave, Bellevue, PA 15202 Phone: 866-389-2727 | |
Alysa Lynn Petrik, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 Lincoln Ave, Bellevue, PA 15202 Phone: 412-761-3000 | |
Dianne Lynne Pettis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 355 Lincoln Ave, Bellevue, PA 15202 Phone: 412-761-3000 |