Wendy Herold Palastro (NPI# 1639462419, PAC ID# 4082838511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1639462419 |
PAC ID by PECOS | 4082838511 |
Professional Enrollment ID | I20140624000445 |
Full Name | Wendy Herold Palastro |
Organization Legal Name | SMA DEER LAKES PC |
Address |
221 Russellton Dorseyville Rd Suite A Cheswick PA 15024-2004 |
Phone Number | 4127675387 |
Gender | F |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 2011 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 2163406299 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390102 | UPMC ST MARGARET |
Address | Phone | Organization |
---|---|---|
221 Russellton Dorseyville Rd, Suite A, Cheswick, PA 15024-2004 | 4127675387 | SMA DEER LAKES PC |
221 Russellton Dorseyville Rd, Cheswick, PA 15024-2004 | 4127675387 | SMA DEER LAKES PC |
Organization Legal Name | SMA DEER LAKES PC |
Physicians | 1 |
Street Address |
221 RUSSELLTON DORSEYVILLE RD SUITE A |
City | CHESWICK |
State | PA |
Zip | 15024-2004 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donald J Wilfong | Internal Medicine | Allegheny Clinic | 105 Hill Ave, Cheswick, PA 15024-1400 |
Elie Francis | Internal Medicine | Allegheny Clinic | 1304 Pittsburgh St, Cheswick, PA 15024-1447 |
Michal Rose Gould | Physician Assistant | Allegheny Clinic | 1304 Pittsburgh St, Cheswick, PA 15024-1447 |
John C. Zelazowski | Optometry | 1423 Pittsburgh St, Cheswick, PA 15024-1474 | |
Wayne A Hoover | Psychologist, Clinical | 3876 Saxonburg Blvd, Cheswick, PA 15024-2228 | |
Matthew A. Vasil | Hospice/palliative Care | Upmc Community Medicine Inc | 928 Route 910 Emmerling Plaza, Valley Family Medicine Upmc, Cheswick, PA 15024-9940 |
City | CHESWICK |
Zip Code | 15024 |
Specialty | FAMILY PRACTICE |
City + Specialty | CHESWICK + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.