| Mr William James Mazzocco Jr, PA-C | |
|
Tyrone Hospital, One Hospital Drive, Tyrone, PA 16686 | |
| (814) 684-6374 | |
| (814) 684-6320 |
| Full Name | Mr William James Mazzocco Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | Tyrone Hospital, Tyrone, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174598304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 540 (Alaska) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA000991L (Pennsylvania) | Primary |
| Entity Name | UPMC Altoona Regional Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396724217 PECOS PAC ID: 5395659312 Enrollment ID: O20040312000257 |
| Entity Name | UPMC Altoona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497831655 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001094 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William James Mazzocco Jr, PA-C Rr 2 Box 73, Hollidaysburg, PA 16648-9718 Ph: (814) 696-8383 | Mr William James Mazzocco Jr, PA-C Tyrone Hospital, One Hospital Drive, Tyrone, PA 16686 Ph: (814) 684-6374 |
Tamara Gorsuch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 154 Hospital Dr, Tyrone, PA 16686 Phone: 814-684-6341 Fax: 814-684-6341 |
Jeremy P. Gorsuch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 154 Hospital Dr, Tyrone, PA 16686 Phone: 814-684-6341 Fax: 814-684-6343 |
John A Schroth, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Tyrone, PA 16686 Phone: 814-684-6374 Fax: 814-684-6320 |
Kellie A Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Pennsylvania Ave, Tyrone, PA 16686 Phone: 814-684-2100 |
Amanda Kunsman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Pennsylvania Ave, Tyrone, PA 16686 Phone: 814-684-2100 |