| Dr Jesse Aiden Mytinger, DPM | |
|
127 Columbia Ave, Vandergrift, PA 15690-1101 | |
| (724) 567-7520 | |
| (724) 568-2169 |
| Full Name | Dr Jesse Aiden Mytinger |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 127 Columbia Ave, Vandergrift, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821071382 | NPI | - | NPPES |
| 1013170390001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC005745 (Pennsylvania) | Primary |
| Provider Name | Jeffery S Nigro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366428872 PECOS PAC ID: 2668585985 Enrollment ID: I20110103000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jesse Aiden Mytinger, DPM 1601 Union Ave, Suite B, Natrona Heights, PA 15065-2133 Ph: (724) 226-0544 | Dr Jesse Aiden Mytinger, DPM 127 Columbia Ave, Vandergrift, PA 15690-1101 Ph: (724) 567-7520 |
Nigro Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 127 Columbia Ave, Vandergrift, PA 15690 Phone: 724-567-7520 Fax: 724-568-2169 | |
Dr. Jeff Scott Nigro, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 127 Columbia Ave, Vandergrift, PA 15690 Phone: 724-567-7520 Fax: 724-568-2169 | |
Harvey F Fishel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 181 Columbia Ave, Vandergrift, PA 15690 Phone: 724-568-3675 |