| Stanley D. Bosta Dpm Pc | |
| 
					495 Waterfront Dr E, Suite230, Homestead, PA 15120-1140  | |
| (412) 461-1108 | |
| (412) 461-5490 | 
| Full Name | Stanley D. Bosta Dpm Pc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 495 Waterfront Dr E, Homestead, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710912845 | NPI | - | NPPES | 
| 480023599 | Other | PA | RAILROAD MEDICARE | 
| 1083686034 | Other | PA | INDIVIDUAL NPI | 
| 0005069140003 | Medicaid | PA | |
| 063793XXY | Other | PA | MEDICARE GROUP PROV# | 
| 1382437 | Other | PA | HIGHMARK BS ID NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary | 
| Provider Name | Stanley D Bosta | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1083686034 PECOS PAC ID: 5799867982 Enrollment ID: I20080128000039  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stanley D. Bosta Dpm Pc 495 Waterfront Dr E, Suite230, Homestead, PA 15120-1140 Ph: (412) 461-1108  | Stanley D. Bosta Dpm Pc 495 Waterfront Dr E, Suite230, Homestead, PA 15120-1140 Ph: (412) 461-1108  | 
Kathleen M Oconnell Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 495 E Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490  | |
Stanley D Bosta, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 495 Waterfront Dr E, Suite 230, Homestead, PA 15120 Phone: 412-325-0397 Fax: 412-461-5490  | |
Stephen J Kruljac, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 495 East Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490  | |
Sara Sadeghi, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 495 E Waterfront Dr Ste 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490  | |
John J Distazio, D.p.m., P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 495 E Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490  | |
John J Distazio, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 495 Waterfront Dr E, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490  | |
Rodger B Kuhn, D.p.m.. P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 495 East Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490  |