| Medical Associates Of Boswell | |
|
136 S Pine Ave Stoystown PA 15563-6002 | |
| (814) 893-5568 | |
| (814) 893-5989 |
| Full Name | Medical Associates Of Boswell |
|---|---|
| Speciality | Clinic/Center |
| Location | 136 S Pine Ave, Stoystown, Pennsylvania |
| Authorized Official Name and Position | Willilam O. Thompson (PRESIDENT) |
| Authorized Official Contact | 8148935568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Boswell 430 Stonycreek St Boswell PA 15531-1024 Ph: (814) 893-5568 | Medical Associates Of Boswell 136 S Pine Ave Stoystown PA 15563-6002 Ph: (814) 893-5568 |
| NPI Number | 1609829670 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 3870494107 |
|---|---|
| Medicare Enrollment ID | O20040119000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609829670 | NPI | - | NPPES |
| 000069206 | Other | PA | HIGHMARK |
| 1007698380001 | Medicaid | PA | |
| 000322665 | Other | PA | HIGHMARK |
| 1007698380002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD041994E (Pennsylvania) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | MD041994E (Pennsylvania) | Primary |
| Provider Name | Suzanne H Blasko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548215890 PECOS PAC ID: 1254232572 Enrollment ID: I20050609000445 |
| Provider Name | William O Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669427878 PECOS PAC ID: 1850292186 Enrollment ID: I20110603000522 |
| Provider Name | Faye M Girdany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912284050 PECOS PAC ID: 6305004342 Enrollment ID: I20171004002614 |
| Provider Name | Samra M M El-attrache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801435409 PECOS PAC ID: 6204260326 Enrollment ID: I20191226001481 |
Medical Associates Of Boswell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 S Pine Ave, Stoystown, PA 15563 Phone: 814-893-5568 Fax: 814-893-5989 |