| Klain, Heasley, Nettleton Md Pc | |
|
25 Colony Blvd Ste 102 Blairsville PA 15717-7971 | |
| (724) 459-9111 | |
| (724) 459-7856 |
| Full Name | Klain, Heasley, Nettleton Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Colony Blvd Ste 102, Blairsville, Pennsylvania |
| Authorized Official Name and Position | Matthew N. Klain (PRESIDENT) |
| Authorized Official Contact | 7244599111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Klain, Heasley, Nettleton Md Pc 25 Colony Boulevard Suite 102 Blairsville PA 15717-7971 Ph: (724) 459-9111 | Klain, Heasley, Nettleton Md Pc 25 Colony Blvd Ste 102 Blairsville PA 15717-7971 Ph: (724) 459-9111 |
| NPI Number | 1548282254 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 1658283718 |
|---|---|
| Medicare Enrollment ID | O20031105000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548282254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew Lawrence Nettleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114983616 PECOS PAC ID: 3779496096 Enrollment ID: I20031111000814 |
| Provider Name | Matthew N Klain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952367401 PECOS PAC ID: 8527970680 Enrollment ID: I20091022000427 |
| Provider Name | Eric Heasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811954837 PECOS PAC ID: 4082745658 Enrollment ID: I20100625000145 |
| Provider Name | Lucinda A Fails |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518945906 PECOS PAC ID: 1557534575 Enrollment ID: I20170214001702 |
| Provider Name | Jennifer Elaine Goode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033732805 PECOS PAC ID: 9133531015 Enrollment ID: I20201217001825 |
Blairsville Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Club Ln, Ste 102, Blairsville, PA 15717 Phone: 724-459-5203 Fax: 724-459-0949 | |
Indiana Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Indiana At Chestnut Ridge, 25 Colony Blvd, Blairsville, PA 15717 Phone: 724-357-7009 Fax: 724-357-7414 | |
Indiana Care Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Colony Blvd, Blairsville, PA 15717 Phone: 724-388-3814 | |
Excela Health Physician Practices, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Club Ln Ste 203, Blairsville, PA 15717 Phone: 724-459-7338 Fax: 724-459-0206 |