| Ms Heather D Letcavage, PA-C | |
|
149 Lafayette Ave, Tamaqua, PA 18252-4619 | |
| (702) 899-0595 | |
| (702) 977-1496 |
| Full Name | Ms Heather D Letcavage |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 149 Lafayette Ave, Tamaqua, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295921732 | NPI | - | NPPES |
| 1077031 | Other | PA | CERTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | MA051716 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Integrated Rehab Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20120213000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Heather D Letcavage, PA-C Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Ms Heather D Letcavage, PA-C 149 Lafayette Ave, Tamaqua, PA 18252-4619 Ph: (702) 899-0595 |
Aron Joseph Zarowsky, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 241 Claremont Ave, Tamaqua, PA 18252 Phone: 570-225-7211 |
Samantha Rose Eroh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 143 N Railroad St, Tamaqua, PA 18252 Phone: 570-645-1540 |
Marie Jamie Fluke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 143 N Railroad St, Tamaqua, PA 18252 Phone: 570-645-1540 Fax: 866-230-8954 |
Maria T Braskie, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Pine St, Tamaqua, PA 18252 Phone: 570-645-1520 Fax: 570-645-1519 |
Laura Josephine D'amato, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 143 N Railroad St, Tamaqua, PA 18252 Phone: 570-645-1540 |
Grady Thomas Egan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Pine St, Tamaqua, PA 18252 Phone: 484-526-1735 |