| Pt Family Medicine Pc | |
|
2057 State Route 130 Jeannette PA 15644-3801 | |
| (724) 527-2700 | |
| (724) 527-2705 |
| Full Name | Pt Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2057 State Route 130, Jeannette, Pennsylvania |
| Authorized Official Name and Position | Kevin M Wong (OWNER) |
| Authorized Official Contact | 7245272700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pt Family Medicine Pc 2057 State Route 130 Jeannette PA 15644-3801 Ph: (724) 527-2700 | Pt Family Medicine Pc 2057 State Route 130 Jeannette PA 15644-3801 Ph: (724) 527-2700 |
| NPI Number | 1962975615 |
|---|---|
| Provider Enumeration Date | 01/05/2019 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 7315285053 |
|---|---|
| Medicare Enrollment ID | O20190205002133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962975615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| Provider Name | Kevin M Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437177193 PECOS PAC ID: 2466362496 Enrollment ID: I20050531000872 |
| Provider Name | Brandi B Eutsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902176928 PECOS PAC ID: 1557648169 Enrollment ID: I20170509002148 |
| Provider Name | Michael W Wong |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184002537 PECOS PAC ID: 3971808965 Enrollment ID: I20191002000019 |
| Provider Name | Mckenzie Means |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740041854 PECOS PAC ID: 4789028424 Enrollment ID: I20240221001068 |
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Physician Management Services Of Pennsylvania Ii, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2057 State Route 130, Jeannette, PA 15644 Phone: 888-829-8550 | |
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Joseph P Gerger, M.d., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Michigan Ave, Jeannette, PA 15644 Phone: 724-527-6424 Fax: 724-527-0782 | |
Ayesha Hossain Md And Associates-upmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Lowry Ave, Suite 6, Jeannette, PA 15644 Phone: 724-523-5721 Fax: 724-527-6188 |