| Sciamanda Total Health And Wellness | |
|
1920 W 8th St Erie PA 16505-4935 | |
| (814) 456-1097 | |
| (814) 287-9375 |
| Full Name | Sciamanda Total Health And Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 1920 W 8th St, Erie, Pennsylvania |
| Authorized Official Name and Position | Dominic Mariano Sciamanda (OWNER) |
| Authorized Official Contact | 8144561097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sciamanda Total Health And Wellness 1920 W 8th St Erie PA 16505-4935 Ph: (814) 456-1097 | Sciamanda Total Health And Wellness 1920 W 8th St Erie PA 16505-4935 Ph: (814) 456-1097 |
| NPI Number | 1902385255 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 11/04/2021 |
| Medicare PECOS PAC ID | 9335492529 |
|---|---|
| Medicare Enrollment ID | O20181106001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902385255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS018175 (Pennsylvania) | Primary |
| Provider Name | Dominic Mariano Sciamanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336107887 PECOS PAC ID: 2769417062 Enrollment ID: I20051005000281 |
| Provider Name | Brooke R Ducharme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851872410 PECOS PAC ID: 3971855495 Enrollment ID: I20181011001225 |
| Provider Name | Mary Katherine Lasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003477407 PECOS PAC ID: 1456735646 Enrollment ID: I20220907003657 |
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