| Smithfield Medical, P.c. | |
|
309 Smithfield St Suite 200 Pittsburgh PA 15222-2229 | |
| (412) 471-2111 | |
| (412) 471-7282 |
| Full Name | Smithfield Medical, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 309 Smithfield St, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Michael Fackovec (PRESIDENT) |
| Authorized Official Contact | 4124712111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smithfield Medical, P.c. 309 Smithfield St Suite 200 Pittsburgh PA 15222-2229 Ph: (412) 471-2111 | Smithfield Medical, P.c. 309 Smithfield St Suite 200 Pittsburgh PA 15222-2229 Ph: (412) 471-2111 |
| NPI Number | 1841238789 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648330324 |
|---|---|
| Medicare Enrollment ID | O20081126000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841238789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Fackovec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245231414 PECOS PAC ID: 5294624813 Enrollment ID: I20040312000118 |
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