| Bash Family Practice | |
|
206 S Duffy Rd Butler PA 16001-2709 | |
| (724) 285-1988 | |
| (724) 256-8752 |
| Full Name | Bash Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 S Duffy Rd, Butler, Pennsylvania |
| Authorized Official Name and Position | Beth a Bash (CRNP) |
| Authorized Official Contact | 7242851988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bash Family Practice 166 Moore Rd Butler PA 16001 | Bash Family Practice 206 S Duffy Rd Butler PA 16001-2709 Ph: (724) 285-1988 |
| NPI Number | 1629449996 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Medicare PECOS PAC ID | 4183977085 |
|---|---|
| Medicare Enrollment ID | O20181023001251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629449996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | TP005043B (Pennsylvania) | Primary |
| Provider Name | Beth a Bash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225079973 PECOS PAC ID: 9436059573 Enrollment ID: I20040113000571 |
| Provider Name | Janice Lynn D'ambrosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306346101 PECOS PAC ID: 3274898044 Enrollment ID: I20180525001442 |
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William C. Dicuccio, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 E Jefferson St, Butler, PA 16001 Phone: 724-282-1530 Fax: 724-282-1541 |
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Michael R. Trotta, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 E Jefferson St, Butler, PA 16001 Phone: 724-282-1530 Fax: 724-282-1541 |