Meadville Physician Services - Medicare Primary Care in Meadville, PA

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Meadville Physician Services is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Meadville, Pennsylvania. The current practice location for Meadville Physician Services is 765 Liberty St Ste 105, Meadville, Pennsylvania. For appointments, you can reach them via phone at (814) 373-2310. The mailing address for Meadville Physician Services is 1034 Grove St, Meadville, Pennsylvania and phone number is (814) 373-3545.

Meadville Physician Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619236056. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (814) 373-2310.

Contact Information

Meadville Physician Services
765 Liberty St Ste 105
Meadville
PA 16335-2567
(814) 373-2310
(814) 373-2313

Map and Direction


Primary Care Clinic Profile

Full NameMeadville Physician Services
SpecialityClinic/Center
Location765 Liberty St Ste 105, Meadville, Pennsylvania
Authorized Official Name and PositionRenato Suntay (CFO)
Authorized Official Contact8143335031
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Meadville Physician Services
1034 Grove St
Meadville
PA 16335-2945

Ph: (814) 373-3545		Meadville Physician Services
765 Liberty St Ste 105
Meadville
PA 16335-2567

Ph: (814) 373-2310

NPI Details:

NPI Number1619236056
Provider Enumeration Date05/04/2012
Last Update Date05/06/2025

Medicare PECOS Information:

Medicare PECOS PAC ID9638078504
Medicare Enrollment IDO20040108000834

Medical Identifiers

Medical identifiers for Meadville Physician Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619236056NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Secondary
2085R0204XRadiology - Vascular & Interventional Radiology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Meadville Physician Services acts as a billing entity for following providers:
Provider NameJohn Steven Wilson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1689639270
PECOS PAC ID: 3173416328
Enrollment ID: I20040203000646
Provider NameDavid L D'amore
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558454108
PECOS PAC ID: 4789578378
Enrollment ID: I20040213000019
Provider NameGurjaipal S Kang
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1255335220
PECOS PAC ID: 7113811621
Enrollment ID: I20040213000222
Provider NameSamer Azouz
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1275532129
PECOS PAC ID: 1951291541
Enrollment ID: I20040317001206
Provider NameJeffrey M Friedel
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1699756148
PECOS PAC ID: 1658358007
Enrollment ID: I20040702000501
Provider NameRobert Wayne Tahara
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1902859069
PECOS PAC ID: 5698736312
Enrollment ID: I20041026000168
Provider NameKevin Richard Kraeling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447358775
PECOS PAC ID: 5092711960
Enrollment ID: I20061017000242
Provider NameBrandon Mikolich
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1215102421
PECOS PAC ID: 5698821635
Enrollment ID: I20090916000675
Provider NameChristopher J Weibel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1689661514
PECOS PAC ID: 4082895529
Enrollment ID: I20110217000113
Provider NameBenjamin Karlberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205140373
PECOS PAC ID: 2163725839
Enrollment ID: I20160129002035
Provider NameCourtney M Mcgovern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669839957
PECOS PAC ID: 1153627310
Enrollment ID: I20160315000191
Provider NameVictor J Pilewski
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1548494115
PECOS PAC ID: 5496970865
Enrollment ID: I20180227002977
Provider NameSabeeh Siddiqui
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891965489
PECOS PAC ID: 8527135938
Enrollment ID: I20180411000675
Provider NameCorinne Yost
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821556259
PECOS PAC ID: 3971844176
Enrollment ID: I20190417000930
Provider NameJulie S Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154951234
PECOS PAC ID: 0840627741
Enrollment ID: I20200304002517
Provider NameChinedu Angela Igwe
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1710207519
PECOS PAC ID: 1951545839
Enrollment ID: I20200417001547
Provider NameSandeep Dayanand
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1376891978
PECOS PAC ID: 4183036437
Enrollment ID: I20201210002387
Provider NameBridget Starr Gill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033712765
PECOS PAC ID: 8628480209
Enrollment ID: I20201228000123
Provider NameJulie L Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063187276
PECOS PAC ID: 5193117422
Enrollment ID: I20220119001596
Provider NameBenjamin Shore
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1902339013
PECOS PAC ID: 9436530219
Enrollment ID: I20220726001185
Provider NameAdil Sattar
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1235440652
PECOS PAC ID: 6709010879
Enrollment ID: I20220804003969
Provider NameChristian Rosero Llerena
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1073043139
PECOS PAC ID: 5890118186
Enrollment ID: I20221219000107
Provider NameNavdeep Tandon
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1861812299
PECOS PAC ID: 5698090546
Enrollment ID: I20240201001730
Provider NameGarrett Britton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437563319
PECOS PAC ID: 0345568515
Enrollment ID: I20240321001951
Provider NameRona De La Vega
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1578126207
PECOS PAC ID: 3779022579
Enrollment ID: I20240824000064

Reviews and Comments


Clinic/Center in Meadville, PA

Crawford Eye Associates Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1039 Park Ave, Meadville, PA 16335
Phone: 814-724-2020    Fax: 814-337-1150
Meadville Medical Associates Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 765 Liberty Street, Suite 309, Meadville, PA 16335
Phone: 814-373-2997    Fax: 814-373-2989
Pioneer Medical Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 765 Liberty St, Suite # 307, Meadville, PA 16335
Phone: 814-336-1140    Fax: 814-724-2196
Conneaut Valley Health Center Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 747 Terrace St, Meadville, PA 16335
Phone: 814-373-2976    Fax: 814-333-7071
Rebecca D. Lashbrook, Md, Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 280 Clinton Ct, Meadville, PA 16335
Phone: 814-333-8277    
Meadville Medical Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1034 Grove St Ste G1, Meadville, PA 16335
Phone: 814-807-1202    Fax: 814-807-1210
Clinical Practice Of Lecom Institute For Successful Living
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 16954 Conneaut Lake Rd, Meadville, PA 16335
Phone: 814-868-2200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.