Broad Top Area Medical Center Inc - Medicare Primary Care in Broad Top, PA

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Broad Top Area Medical Center Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Broad Top, Pennsylvania. The current practice location for Broad Top Area Medical Center Inc is 4133 Medical Center Drive, Box 127, Broad Top, Pennsylvania. For appointments, you can reach them via phone at (814) 635-2916. The mailing address for Broad Top Area Medical Center Inc is 4133 Medical Center Drive, Box 127, Broad Top, Pennsylvania and phone number is (814) 635-2916.

Broad Top Area Medical Center Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063514453. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (814) 635-2916.

Contact Information

Broad Top Area Medical Center Inc
4133 Medical Center Drive, Box 127
Broad Top
PA 16621-0127
(814) 635-2916
(814) 635-2918

Map and Direction


Primary Care Clinic Profile

Full NameBroad Top Area Medical Center Inc
SpecialityClinic/Center
Location4133 Medical Center Drive, Box 127, Broad Top, Pennsylvania
Authorized Official Name and PositionJohn Roth (CEO)
Authorized Official Contact8146352916
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Broad Top Area Medical Center Inc
4133 Medical Center Drive, Box 127
Broad Top
PA 16621-0127

Ph: (814) 635-2916		Broad Top Area Medical Center Inc
4133 Medical Center Drive, Box 127
Broad Top
PA 16621-0127

Ph: (814) 635-2916

NPI Details:

NPI Number1063514453
Provider Enumeration Date09/05/2006
Last Update Date04/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2860430972
Medicare Enrollment IDO20050420000158

Medical Identifiers

Medical identifiers for Broad Top Area Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063514453NPI-NPPES
1007496930006MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Broad Top Area Medical Center Inc acts as a billing entity for following providers:
Provider NameMichael A Lettieri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285652446
PECOS PAC ID: 4284528704
Enrollment ID: I20040213000242
Provider NameAnthony J Zinobile
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376528547
PECOS PAC ID: 3779533864
Enrollment ID: I20050126000837
Provider NameTracy A Lillie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689650848
PECOS PAC ID: 5597710640
Enrollment ID: I20050322000419
Provider NameRobert Calvin Lamey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811971989
PECOS PAC ID: 4789788936
Enrollment ID: I20070328000641
Provider NameFeyisitan Adekunle Adebajo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780809350
PECOS PAC ID: 9537266382
Enrollment ID: I20070514000220
Provider NameFawzia Haque
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578752291
PECOS PAC ID: 3476641747
Enrollment ID: I20071120000402
Provider NameJerome J Dejulia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841270220
PECOS PAC ID: 3375629751
Enrollment ID: I20080326000065
Provider NameGregory A Strunk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740486281
PECOS PAC ID: 1456488857
Enrollment ID: I20100415000826
Provider NameJames B Hayden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578697785
PECOS PAC ID: 9032234331
Enrollment ID: I20100909000991
Provider NameDebra B Messner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447407929
PECOS PAC ID: 1052504164
Enrollment ID: I20101021000751
Provider NameJohn D. Roth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699772673
PECOS PAC ID: 4284829631
Enrollment ID: I20101110001201
Provider NameKevin Charles Capp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588800155
PECOS PAC ID: 7416143284
Enrollment ID: I20101119000436
Provider NameBert Altmanshofer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1467488445
PECOS PAC ID: 0244143972
Enrollment ID: I20120105000349
Provider NameSharon E Martin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891884375
PECOS PAC ID: 2769482298
Enrollment ID: I20120222000313
Provider NameDella Werner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184058638
PECOS PAC ID: 4789801937
Enrollment ID: I20140812000110
Provider NameGregor S Thebaud
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326353996
PECOS PAC ID: 9830317403
Enrollment ID: I20140822001022
Provider NameShelly D Rivello
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356758791
PECOS PAC ID: 9537389754
Enrollment ID: I20141009001504
Provider NameSherrie Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649676420
PECOS PAC ID: 9032435870
Enrollment ID: I20150313000728
Provider NameTammy M Pennington
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1417095746
PECOS PAC ID: 1951453513
Enrollment ID: I20160401001868
Provider NameEarl L Waters
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1750383238
PECOS PAC ID: 2668754136
Enrollment ID: I20170117002203
Provider NameJessica E Dimoff Querry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023439221
PECOS PAC ID: 7012270283
Enrollment ID: I20180423000637
Provider NameDouglas Ryan Weber
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1538466198
PECOS PAC ID: 2365723590
Enrollment ID: I20190131000924
Provider NameKelly Elizabeth Maffia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518985605
PECOS PAC ID: 4486994597
Enrollment ID: I20190327000263
Provider NameErika Lindsey Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720677370
PECOS PAC ID: 1759790801
Enrollment ID: I20210503000845
Provider NameAnnamarie Denis Hurley
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1093779746
PECOS PAC ID: 1254657745
Enrollment ID: I20220216000352
Provider NameMichelle Volpe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427773753
PECOS PAC ID: 6002289469
Enrollment ID: I20230306000950
Provider NameGeorge J Bauer
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1326092966
PECOS PAC ID: 8628360534
Enrollment ID: I20230307002449
Provider NameJames Seitz
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1134183767
PECOS PAC ID: 0345615399
Enrollment ID: I20230405002291
Provider NameDavid J Uhrik
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1194770818
PECOS PAC ID: 9436437969
Enrollment ID: I20230804001733
Provider NameMahesh Botejue
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407484173
PECOS PAC ID: 7113308123
Enrollment ID: I20230915003595
Provider NameCourtney Blair
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326532094
PECOS PAC ID: 5294182614
Enrollment ID: I20231107001851
Provider NameHope Saylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003696295
PECOS PAC ID: 6002263761
Enrollment ID: I20231117000617

Reviews and Comments


Clinic/Center in Broad Top, PA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.