| Erpg Keystone Medical Associates | |
|
136 State St St Marys PA 15857-1626 | |
| (814) 781-6758 | |
| (814) 834-1038 |
| Full Name | Erpg Keystone Medical Associates |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 136 State St, St Marys, Pennsylvania |
| Authorized Official Name and Position | Rita V Olszewski (VICE PRESIDENT, ERPG) |
| Authorized Official Contact | 8147888580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erpg Keystone Medical Associates 136 State St St Marys PA 15857-1626 Ph: (814) 781-6758 | Erpg Keystone Medical Associates 136 State St St Marys PA 15857-1626 Ph: (814) 781-6758 |
| NPI Number | 1336136720 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336136720 | NPI | - | NPPES |
| 0018592850010 | Medicaid | PA | |
| 1418283 | Other | PA | HIGHMARK ASSIGNMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Erpg Elk County Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 177 Washington St, St Marys, PA 15857 Phone: 814-781-7531 Fax: 814-781-7494 |