| Community Health Net | |
| 1202 State St Erie PA 16501-1914 | |
| (814) 455-7222 | |
| (814) 456-2375 | 
| Full Name | Community Health Net | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1202 State St, Erie, Pennsylvania | 
| Authorized Official Name and Position | Craig A Ulmer (CEO) | 
| Authorized Official Contact | 8144544530 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Community Health Net 1202 State St Erie PA 16501-1914 Ph: (814) 454-4530 | Community Health Net 1202 State St Erie PA 16501-1914 Ph: (814) 455-7222 | 
| NPI Number | 1245209170 | 
|---|---|
| Provider Enumeration Date | 03/14/2006 | 
| Last Update Date | 12/05/2023 | 
| Medicare PECOS PAC ID | 1759290588 | 
|---|---|
| Medicare Enrollment ID | O20031222000617 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245209170 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
| Provider Name | Tracie Lorraine Jones | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1134205701 PECOS PAC ID: 7719939263 Enrollment ID: I20050214000370 | 
| Provider Name | Douglas J Villella | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1326073248 PECOS PAC ID: 3476636705 Enrollment ID: I20080211000269 | 
| Provider Name | Bernadine E Bagniszewski | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1164488359 PECOS PAC ID: 7416035001 Enrollment ID: I20080423000068 | 
| Provider Name | Mary F Howick | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1730339193 PECOS PAC ID: 5193886935 Enrollment ID: I20081211000350 | 
| Provider Name | Anthony R Ignocheck | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1023017894 PECOS PAC ID: 8224182373 Enrollment ID: I20090825000043 | 
| Provider Name | Melissa L Robertson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1396074985 PECOS PAC ID: 3870809890 Enrollment ID: I20150904000907 | 
| Provider Name | Deneen M Morris | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1114371473 PECOS PAC ID: 8527351063 Enrollment ID: I20160721001524 | 
| Provider Name | Adam J Hammerlee | 
|---|---|
| Provider Type | Practitioner - Oral Surgery | 
| Provider Identifiers | NPI Number: 1578827556 PECOS PAC ID: 6800171554 Enrollment ID: I20170321002234 | 
| Provider Name | Lynne M Birkmeyer | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1124029301 PECOS PAC ID: 7618252255 Enrollment ID: I20170323000144 | 
| Provider Name | Maryna P Petrasheuskaya | 
|---|---|
| Provider Type | Practitioner - Oral Surgery | 
| Provider Identifiers | NPI Number: 1336438910 PECOS PAC ID: 9234414780 Enrollment ID: I20170323001203 | 
| Provider Name | Marian Borst | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1427348119 PECOS PAC ID: 1850678715 Enrollment ID: I20170501002434 | 
| Provider Name | Danielle M Cavalieri | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1063956399 PECOS PAC ID: 0648547034 Enrollment ID: I20170607000724 | 
| Provider Name | Sean Leonard | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1700258241 PECOS PAC ID: 6608141676 Enrollment ID: I20171002003174 | 
| Provider Name | Melissa L Greene | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1295975571 PECOS PAC ID: 5799071882 Enrollment ID: I20171025001774 | 
| Provider Name | Michael A Desantis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023593159 PECOS PAC ID: 7517211386 Enrollment ID: I20181114000410 | 
| Provider Name | Sandra S Arnold | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1609341908 PECOS PAC ID: 8820335656 Enrollment ID: I20190131002052 | 
| Provider Name | Christopher D Cain | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1598236325 PECOS PAC ID: 3072851021 Enrollment ID: I20190218000071 | 
| Provider Name | Marium Mujahid | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1336553528 PECOS PAC ID: 6507170107 Enrollment ID: I20191114001108 | 
| Provider Name | Stephanie R. Dorich | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1295993970 PECOS PAC ID: 6204227556 Enrollment ID: I20211222000908 | 
| Provider Name | Kimberly A Laboski | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750025995 PECOS PAC ID: 0840676847 Enrollment ID: I20230227002632 | 
| Provider Name | Rachel Elizabeth Cragle | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659149185 PECOS PAC ID: 3173974300 Enrollment ID: I20240111002860 | 
| Provider Name | Emily A Barron | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1073371803 PECOS PAC ID: 9335588177 Enrollment ID: I20240412003484 | 
| Provider Name | Jillian Williams | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1295565687 PECOS PAC ID: 6305370719 Enrollment ID: I20241107002728 | 
| Provider Name | Krista Lynne Randall-bly | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1184665762 PECOS PAC ID: 6709312473 Enrollment ID: I20241205001849 | 
| Provider Name | Edward C Hennis | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1639708308 PECOS PAC ID: 1153859277 Enrollment ID: I20250116001697 | 
| Dennis M Scully, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3822 Schaper Ave, Erie, PA 16508 Phone: 814-868-0943 Fax: 814-866-1160 | |
| Saint Vincent Medical Education And Research Institute Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2828 Sterrettania Rd, Erie, PA 16506 Phone: 814-833-9700 Fax: 814-835-4301 | |
| Regional Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Peninsula Dr, Suite 9, Erie, PA 16505 Phone: 814-877-7035 Fax: 814-877-6276 | |
| Clinical Practice Of Lecom Institute For Successful Living Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9040 Wattsburg Rd, Erie, PA 16509 Phone: 814-844-2858 | |
| Saint Vincent Medical Education And Research Institue Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4950 Buffalo Rd, Erie, PA 16510 Phone: 814-899-7000 Fax: 814-899-0334 | |
| Regional Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 State Street, Suite 204, Erie, PA 16507 Phone: 814-877-5295 Fax: 814-877-5299 | |
| Lake Erie Medical Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2501 W 12th St Ste C10, Erie, PA 16505 Phone: 814-580-5600 Fax: 814-455-2584 |