| Susan V. Estrada, Md, Pc | |
|
239 Edgewood Drive Extension Transfer PA 16154 | |
| (724) 646-0400 | |
| Not Available |
| Full Name | Susan V. Estrada, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 239 Edgewood Drive Extension, Transfer, Pennsylvania |
| Authorized Official Name and Position | Susan Victoria Estrada-te (ADMINISTRATOR) |
| Authorized Official Contact | 7243470861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan V. Estrada, Md, Pc 13 Stoney Brook Blvd Greenville PA 16125-7803 Ph: () - | Susan V. Estrada, Md, Pc 239 Edgewood Drive Extension Transfer PA 16154 Ph: (724) 646-0400 |
| NPI Number | 1164558433 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 11/19/2007 |
| Medicare PECOS PAC ID | 9830228196 |
|---|---|
| Medicare Enrollment ID | O20100525000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164558433 | NPI | - | NPPES |
| 0016769370007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD 062293 L (Pennsylvania) | Primary |
| Provider Name | Susan V Estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396728812 PECOS PAC ID: 9133193279 Enrollment ID: I20040824000587 |
Transfer Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1291 Rutledge Rd, Transfer, PA 16154 Phone: 724-962-3553 Fax: 724-962-3630 | |
Transfer Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Edgewood Drive Ext, Transfer, PA 16154 Phone: 724-962-3553 Fax: 724-962-3630 | |
Nystrom And Eckard Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1291 Rutledge Rd, Transfer, PA 16154 Phone: 724-962-3553 Fax: 724-962-3630 |