Centerville Clinics, Inc. - Medicare Primary Care in Fredericktown, PA

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Centerville Clinics, Inc. is a medicare enrolled primary clinic (Family Medicine) in Fredericktown, Pennsylvania. The current practice location for Centerville Clinics, Inc. is 1070 Old National Pike, Fredericktown, Pennsylvania. For appointments, you can reach them via phone at (724) 632-6801. The mailing address for Centerville Clinics, Inc. is 1070 Old National Pike, Fredericktown, Pennsylvania and phone number is (724) 632-6801.

Centerville Clinics, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1801877048. 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 (724) 632-6801.

Contact Information

Centerville Clinics, Inc.
1070 Old National Pike
Fredericktown
PA 15333-2114
(724) 632-6801
(724) 632-6312

Map and Direction


Primary Care Clinic Profile

Full NameCenterville Clinics, Inc.
SpecialityFamily Medicine
Location1070 Old National Pike, Fredericktown, Pennsylvania
Authorized Official Name and PositionPatricia Martos (DIRECTOR PERSONNEL/FINANCE)
Authorized Official Contact7246326801
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerville Clinics, Inc.
1070 Old National Pike
Fredericktown
PA 15333-2114

Ph: (724) 632-6801		Centerville Clinics, Inc.
1070 Old National Pike
Fredericktown
PA 15333-2114

Ph: (724) 632-6801

NPI Details:

NPI Number1801877048
Provider Enumeration Date11/07/2005
Last Update Date01/17/2008

Medicare PECOS Information:

Medicare PECOS PAC ID7214837202
Medicare Enrollment IDO20040427000681

Medical Identifiers

Medical identifiers for Centerville Clinics, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801877048NPI-NPPES
1007288440027MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Centerville Clinics, Inc. acts as a billing entity for following providers:
Provider NameChristopher C Allen
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1548242449
PECOS PAC ID: 8527971134
Enrollment ID: I20031110000631
Provider NameMarty Cole
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295846681
PECOS PAC ID: 8224934765
Enrollment ID: I20031208000469
Provider NameJohn F Pensock
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1396729638
PECOS PAC ID: 2163317256
Enrollment ID: I20040218000157
Provider NameBryan C Donohue
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952383846
PECOS PAC ID: 3274446869
Enrollment ID: I20040218000188
Provider NameLaila R Avetta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457424426
PECOS PAC ID: 8921095274
Enrollment ID: I20040428000845
Provider NameKishor E Joshi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518970516
PECOS PAC ID: 8123923976
Enrollment ID: I20040511000563
Provider NameSean M Conley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518957802
PECOS PAC ID: 1557348430
Enrollment ID: I20040630000248
Provider NameVasilios Spyropoulos
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1659396315
PECOS PAC ID: 9234110206
Enrollment ID: I20040820000538
Provider NameKevin Alan Zacour
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245206853
PECOS PAC ID: 1850368911
Enrollment ID: I20040916000882
Provider NameMarvin Mcgowan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851382535
PECOS PAC ID: 2264485689
Enrollment ID: I20050225000407
Provider NameCharles Richard Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821176470
PECOS PAC ID: 2668419755
Enrollment ID: I20050411000643
Provider NameTheresa Jean Lacava
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063412088
PECOS PAC ID: 5799724670
Enrollment ID: I20050429000454
Provider NameCarla Sterbutzel Franks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144429002
PECOS PAC ID: 6103830534
Enrollment ID: I20060208000353
Provider NameDaniel L Holt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922003375
PECOS PAC ID: 1456354430
Enrollment ID: I20060811000138
Provider NameAlvaro N Changco
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922009240
PECOS PAC ID: 3779689617
Enrollment ID: I20070509000396
Provider NameNatalee A Kontir
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770779761
PECOS PAC ID: 1052492030
Enrollment ID: I20080116000115
Provider NameRobert L Belluso
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912192568
PECOS PAC ID: 0648345033
Enrollment ID: I20080820000017
Provider NameJulie K Derosa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285682856
PECOS PAC ID: 1456426840
Enrollment ID: I20080820000033
Provider NameJennifer Muhly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750375168
PECOS PAC ID: 3072518968
Enrollment ID: I20080820000664
Provider NameBrandi B Kalich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689826174
PECOS PAC ID: 8426103615
Enrollment ID: I20090911000681
Provider NameDimitri M Petro
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1760469456
PECOS PAC ID: 7012044282
Enrollment ID: I20100420000325
Provider NameAnita C Fiala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720079296
PECOS PAC ID: 9133256357
Enrollment ID: I20100420000799
Provider NameCharles M Irvin
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1457337032
PECOS PAC ID: 3072641356
Enrollment ID: I20100506000531
Provider NameEdward J Salopek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457341745
PECOS PAC ID: 7517096241
Enrollment ID: I20100518000851
Provider NameJer Tsai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477543817
PECOS PAC ID: 5890824270
Enrollment ID: I20100524000134
Provider NameRobert S English
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1447237680
PECOS PAC ID: 5890987416
Enrollment ID: I20101014000044
Provider NameAaron G Lenhart
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710161336
PECOS PAC ID: 7416142534
Enrollment ID: I20101115000186
Provider NameAshok K Sahai
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1609838549
PECOS PAC ID: 7214118298
Enrollment ID: I20110223001191
Provider NameLawrence Callahan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669511259
PECOS PAC ID: 7911182837
Enrollment ID: I20110419000568
Provider NamePrafullchandra D Vora
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1447256342
PECOS PAC ID: 8921271206
Enrollment ID: I20111102000053
Provider NameShweta Arora
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841447000
PECOS PAC ID: 7315111234
Enrollment ID: I20111110000603
Provider NameBrigitte L Sapko
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1134154743
PECOS PAC ID: 8921274663
Enrollment ID: I20111230000591
Provider NameJosefina D Paderes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619106697
PECOS PAC ID: 8527212992
Enrollment ID: I20130212000377
Provider NameMary A Zakutney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720055049
PECOS PAC ID: 1153473251
Enrollment ID: I20130219000212
Provider NameBrian A Staub
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1033358734
PECOS PAC ID: 5890936280
Enrollment ID: I20130727000151
Provider NameMaria Isabel B Gauna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831417427
PECOS PAC ID: 8527284397
Enrollment ID: I20140731000905
Provider NameApryl M Shiffler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295140010
PECOS PAC ID: 0042432809
Enrollment ID: I20141111000496
Provider NameIrina Pritchard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144619909
PECOS PAC ID: 5294054821
Enrollment ID: I20150504001814
Provider NameErika R Robaugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437525987
PECOS PAC ID: 2163739459
Enrollment ID: I20150918001768
Provider NameMichelle Marie Cohen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124497995
PECOS PAC ID: 6103126453
Enrollment ID: I20151118002232
Provider NameNima J Tirgan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1467650135
PECOS PAC ID: 8426201815
Enrollment ID: I20160219000419
Provider NameJohn R Beabout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225429129
PECOS PAC ID: 4486951852
Enrollment ID: I20160330000602
Provider NameTara Spain Lemaire
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093710170
PECOS PAC ID: 2961395678
Enrollment ID: I20160614001673
Provider NameFred M Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730637794
PECOS PAC ID: 2264714914
Enrollment ID: I20170113000206
Provider NameKatherine D Gialames
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093250797
PECOS PAC ID: 7719261460
Enrollment ID: I20170524000082
Provider NameCortney R Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861935058
PECOS PAC ID: 7517244817
Enrollment ID: I20170530000965
Provider NameJessica Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952825663
PECOS PAC ID: 9335405000
Enrollment ID: I20171113002971
Provider NameDanielle M Guerrieri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053839282
PECOS PAC ID: 7012273600
Enrollment ID: I20171115001035
Provider NameBethany Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831614999
PECOS PAC ID: 5395001804
Enrollment ID: I20171115002567
Provider NameJoseph Francis Tavares
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790850097
PECOS PAC ID: 6204938079
Enrollment ID: I20180125001857
Provider NameTina R Pierce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588198139
PECOS PAC ID: 6305107178
Enrollment ID: I20180220000314
Provider NameJill M Miscovich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114433729
PECOS PAC ID: 4981965316
Enrollment ID: I20180228001408
Provider NameNicole R Jackowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528576618
PECOS PAC ID: 5890058853
Enrollment ID: I20180405000134
Provider NameKatina Fetsko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649622135
PECOS PAC ID: 2668736919
Enrollment ID: I20180514001565
Provider NameKyle Patrick Duff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689052920
PECOS PAC ID: 6800190141
Enrollment ID: I20180822002445
Provider NameGary G Butler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417434358
PECOS PAC ID: 6901156520
Enrollment ID: I20180831001664
Provider NameAlexandria Bakos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003397365
PECOS PAC ID: 9931450947
Enrollment ID: I20181001001454
Provider NameCoreyann Fluker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467965236
PECOS PAC ID: 4880946862
Enrollment ID: I20181003001419
Provider NameNishant Ashok Gandhi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1477734986
PECOS PAC ID: 1355506163
Enrollment ID: I20181205000131
Provider NameJustin Trunzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417424276
PECOS PAC ID: 7416294657
Enrollment ID: I20190128000146
Provider NameJonathan William Decker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619275781
PECOS PAC ID: 1557686334
Enrollment ID: I20190211000232
Provider NameAmber M Prebeg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891251625
PECOS PAC ID: 3072556091
Enrollment ID: I20190405001105
Provider NameTina Keener
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164990958
PECOS PAC ID: 2961745203
Enrollment ID: I20190530000281
Provider NameDaniel Ryan Hinderliter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912543422
PECOS PAC ID: 5395172225
Enrollment ID: I20200305000882
Provider NameAmy Goodwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326686882
PECOS PAC ID: 2264853860
Enrollment ID: I20200608001956
Provider NameMary A Hodgson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851912091
PECOS PAC ID: 5294152856
Enrollment ID: I20200827000657
Provider NameDanielle M Zachar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639602832
PECOS PAC ID: 4385900265
Enrollment ID: I20200904000093
Provider NameChristina M Lombard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689286999
PECOS PAC ID: 0547689747
Enrollment ID: I20201007000581
Provider NameCrystal L Andrews
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255947800
PECOS PAC ID: 8820409659
Enrollment ID: I20201130000471
Provider NameAmanda G Coltura
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902436132
PECOS PAC ID: 4082025788
Enrollment ID: I20201202001047
Provider NameRobbie M Popelas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871188656
PECOS PAC ID: 2567871015
Enrollment ID: I20210512003161
Provider NameAmanda Hoover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992322697
PECOS PAC ID: 8729489729
Enrollment ID: I20210629000407
Provider NameSusan E Albert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982287017
PECOS PAC ID: 4587066790
Enrollment ID: I20210712000355
Provider NameBradley Milam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942706668
PECOS PAC ID: 0244577716
Enrollment ID: I20210805003665
Provider NameRebecca Kunkle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255910436
PECOS PAC ID: 9032515911
Enrollment ID: I20210831003273
Provider NameAl L Mamaril
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497246342
PECOS PAC ID: 7719232479
Enrollment ID: I20211019000481
Provider NameJonette M Mcclelland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912257551
PECOS PAC ID: 4688062938
Enrollment ID: I20211019002808
Provider NameJoshua James Basilone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255089124
PECOS PAC ID: 3375939853
Enrollment ID: I20220409000229
Provider NameMaria R Bening
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194384800
PECOS PAC ID: 5193106938
Enrollment ID: I20220725003115
Provider NameThomas G Wittman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821651647
PECOS PAC ID: 6608259171
Enrollment ID: I20220816001615
Provider NameAli Mahdi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952887291
PECOS PAC ID: 8022491273
Enrollment ID: I20220820000114
Provider NameDerek Bowman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942921663
PECOS PAC ID: 6406226562
Enrollment ID: I20230105002507
Provider NameMary Capella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275249005
PECOS PAC ID: 6800244583
Enrollment ID: I20231120001895
Provider NameMelissa A Turek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144903634
PECOS PAC ID: 9931557519
Enrollment ID: I20231120002180
Provider NameAngela Kalia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952922882
PECOS PAC ID: 1052731437
Enrollment ID: I20231213003413
Provider NameDestiny Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790550820
PECOS PAC ID: 6507209731
Enrollment ID: I20240205003309
Provider NameNarayan Subedi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366217077
PECOS PAC ID: 3274979075
Enrollment ID: I20240315000715

Reviews and Comments


Family Medicine in Fredericktown, PA

Centerville Clinics, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1070 Old National Pike, Fredericktown, PA 15333
Phone: 724-632-6801    Fax: 724-632-6312
Centerville Clinics, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1070 Old National Pike, Fredericktown, PA 15333
Phone: 724-632-6801    Fax: 724-632-6312

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.