| Mheds | |
|
2928 Peach St Erie PA 16508-1843 | |
| (814) 453-6229 | |
| (814) 456-3731 |
| Full Name | Mheds |
|---|---|
| Speciality | Clinic/Center |
| Location | 2928 Peach St, Erie, Pennsylvania |
| Authorized Official Name and Position | Alivia Haibach (CEO) |
| Authorized Official Contact | 8144536229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mheds 2928 Peach St Erie PA 16508-1843 Ph: (814) 453-6229 | Mheds 2928 Peach St Erie PA 16508-1843 Ph: (814) 453-6229 |
| NPI Number | 1730227307 |
|---|---|
| Provider Enumeration Date | 02/03/2007 |
| Last Update Date | 12/15/2025 |
| Certification Date | 12/15/2025 |
| Medicare PECOS PAC ID | 9537299730 |
|---|---|
| Medicare Enrollment ID | O20100615000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730227307 | NPI | - | NPPES |
| 0011041350008 | Medicaid | PA | |
| 1026455800002 | Medicaid | PA | |
| 0011041350002 | Medicaid | PA | |
| 0011041350007 | Medicaid | PA | |
| 0011041350006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| Provider Name | Richard E Hulse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184782559 PECOS PAC ID: 2062584279 Enrollment ID: I20080703000356 |
| Provider Name | Ross a Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609833573 PECOS PAC ID: 8729067509 Enrollment ID: I20090211000028 |
| Provider Name | Kevin Capp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588800155 PECOS PAC ID: 7416143284 Enrollment ID: I20101119000436 |
| Provider Name | William J Koehler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699904227 PECOS PAC ID: 8921279456 Enrollment ID: I20110914000067 |
| Provider Name | Maggie R Biebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366732273 PECOS PAC ID: 1456593813 Enrollment ID: I20130814000409 |
| Provider Name | Ashlyn E Hulse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952903932 PECOS PAC ID: 6305258955 Enrollment ID: I20201223002109 |
| Provider Name | Cara Ferguson Moutsos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033786892 PECOS PAC ID: 6002217163 Enrollment ID: I20210625002625 |
| Provider Name | Victoria a Hulse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326613233 PECOS PAC ID: 6709289382 Enrollment ID: I20210720001148 |
| Provider Name | Vadim Kovalevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477221752 PECOS PAC ID: 2961893904 Enrollment ID: I20211229001371 |
| Provider Name | Mary Lasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003477407 PECOS PAC ID: 1456735646 Enrollment ID: I20220907003657 |
| Provider Name | William C Mcintosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902429327 PECOS PAC ID: 1153766985 Enrollment ID: I20240301003057 |
| Provider Name | Douglas Stazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376307090 PECOS PAC ID: 0941647309 Enrollment ID: I20240320002893 |
| Provider Name | Alina Kotok |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154163285 PECOS PAC ID: 7810434289 Enrollment ID: I20240802001003 |
| Provider Name | Kristin Mcqueeney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508219098 PECOS PAC ID: 1254663198 Enrollment ID: I20240911003562 |
| Provider Name | Kendra Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467274688 PECOS PAC ID: 9436687126 Enrollment ID: I20250108003137 |
| Provider Name | Tyler Titus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134503568 PECOS PAC ID: 0345721221 Enrollment ID: I20260227003406 |
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Dennis M Scully, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3822 Schaper Ave, Erie, PA 16508 Phone: 814-868-0943 Fax: 814-866-1160 |
Saint Vincent Peninsula Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2828 Sterrettania Rd, Erie, PA 16506 Phone: 814-833-9700 Fax: 814-835-4301 |
360 Medical Group Pennsylvania PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 W 7th St Ste 100, Erie, PA 16502 Phone: 215-326-1602 |
West Erie Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Peninsula Dr, Suite 9, Erie, PA 16505 Phone: 814-877-7035 Fax: 814-877-6276 |
Rural Health Clinic of Wattsburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9040 Wattsburg Rd, Erie, PA 16509 Phone: 814-844-2858 |