| Jefferson Internal Medicine Pc | |
|
575 Coal Valley Road Suite 374 Clairton PA 15025 | |
| (412) 469-7744 | |
| (412) 469-7745 |
| Full Name | Jefferson Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 575 Coal Valley Road, Clairton, Pennsylvania |
| Authorized Official Name and Position | David S Lilienthal (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 4124697744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Internal Medicine Pc 575 Coal Valley Road Suite 374 Clairton PA 15025 Ph: (412) 469-7744 | Jefferson Internal Medicine Pc 575 Coal Valley Road Suite 374 Clairton PA 15025 Ph: (412) 469-7744 |
| NPI Number | 1700804572 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 03/02/2011 |
| Medicare PECOS PAC ID | 4880640416 |
|---|---|
| Medicare Enrollment ID | O20050328000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700804572 | NPI | - | NPPES |
| 001276327 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD039474E (Pennsylvania) | Primary |
| Provider Name | David S Lilienthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598730921 PECOS PAC ID: 3779539309 Enrollment ID: I20050328000445 |
| Provider Name | Erika R Wisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952855165 PECOS PAC ID: 0840587879 Enrollment ID: I20160920000138 |
| Provider Name | Holly Marian Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073294328 PECOS PAC ID: 3274980727 Enrollment ID: I20231106002501 |
Jefferson Assoc In Internal Med Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Coal Valley Rd, Suite 405, Clairton, PA 15025 Phone: 412-466-6161 Fax: 412-466-0614 | |
South Hills Gastroenterology Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooks Ln, Ste G10, Clairton, PA 15025 Phone: 412-469-5914 Fax: 412-469-7004 | |
Cornerstone Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 559 Miller Ave, Clairton, PA 15025 Phone: 724-943-3308 | |
Shih-chieh Lo , Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Brooks Lane, Suite 280, Clairton, PA 15025 Phone: 412-466-1203 | |
Prime Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Brooks Ln, Suite 110, Clairton, PA 15025 Phone: 724-929-4930 Fax: 724-929-4308 | |
South Hills Nephrology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Coal Valley Rd, Ste 264, Clairton, PA 15025 Phone: 412-466-2220 Fax: 412-466-4048 | |
Prime Medical Group Pcg1 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooks Ln Ste 110, Clairton, PA 15025 Phone: 412-466-5502 Fax: 412-469-8948 |