| 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 | 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 M 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 | Steven Ryan Do |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447611124 PECOS PAC ID: 8921306168 Enrollment ID: I20180122000089 |
| 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 M Lesseski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437768413 PECOS PAC ID: 5092127407 Enrollment ID: I20201221001053 |
| Provider Name | Kristina Franek |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700409307 PECOS PAC ID: 7315362779 Enrollment ID: I20210817002762 |
| 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 |
Penn North Centers For Advanced Wound Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 W 25th St, Erie, PA 16544 Phone: 814-452-7878 | |
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 Peninsula Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2828 Sterrettania Rd, Erie, PA 16506 Phone: 814-833-9700 Fax: 814-835-4301 | |
West Erie Medical Group 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: Not Enrolled in Medicare Practice Location: 9040 Wattsburg Rd, Erie, PA 16509 Phone: 814-844-2858 | |
Millcreek Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5637 Peach St, Erie, PA 16509 Phone: 814-864-0690 Fax: 814-866-5147 | |
East Harbor Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4950 Buffalo Rd, Erie, PA 16510 Phone: 814-899-7000 Fax: 814-899-0334 |