Jared Carl Bovalino (NPI# 1114286747, PAC ID# 5496072316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114286747 |
| PAC ID by PECOS | 5496072316 |
| Professional Enrollment ID | I20150622000318 |
| Full Name | Jared Carl Bovalino |
| Organization Legal Name | PREFERRED PRIMARY CARE PHYSICIANS, INC. |
| Address |
313 W Barr St Mcdonald PA 15057-1423 |
| Phone Number | 7249263320 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8527967256 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390228 | ST CLAIR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2375 Greentree Rd, Carnegie, PA 15106-4203 | 4122761560 | PREFERRED PRIMARY CARE PHYSICIANS, INC. |
| 313 W Barr St, Mcdonald, PA 15057-1423 | 7249263320 | PREFERRED PRIMARY CARE PHYSICIANS, INC. |
| Organization Legal Name | PREFERRED PRIMARY CARE PHYSICIANS, INC. |
| Physicians | 85 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara A Allwes | Nurse Practitioner | Preferred Primary Care Physicians, Inc. | 1039 Brookline Blvd, Pittsburgh, PA 15226-2247 |
| Courtney L Slagle | Physician Assistant | Preferred Primary Care Physicians, Inc. | 2375 Greentree Rd, Carnegie, PA 15106-4203 |
| Raman S Purighalla | Internal Medicine | Preferred Primary Care Physicians, Inc. | 3400 S Park Rd, Bethel Park, PA 15102-1150 |
| William Bader | Internal Medicine | Preferred Primary Care Physicians, Inc. | 102 Broadway St, Carnegie, PA 15106-2446 |
| John C Chalfant | Family Medicine | Preferred Primary Care Physicians, Inc. | 1910 Cochran Rd, Suite 490, Pittsburgh, PA 15220-1203 |
| Sridhar V Patnam | Family Medicine | Preferred Primary Care Physicians, Inc. | 202 Jacob Murphy Ln, Suite 201, Uniontown, PA 15401-2686 |
| Richard Cook | Family Medicine | Preferred Primary Care Physicians, Inc. | 104 Mcclellandtown Rd, Uniontown, PA 15401-5527 |
| Nicolette Emilia Chiesa | Internal Medicine | Preferred Primary Care Physicians, Inc. | 1168 Washington Pike, Bridgeville, PA 15017-2828 |
| Juliann Romasco | Nurse Practitioner | Preferred Primary Care Physicians, Inc. | 1910 Cochran Rd, Suite 490, Pittsburgh, PA 15220-1203 |
| Linda M Reh | Nurse Practitioner | Preferred Primary Care Physicians, Inc. | 1910 Cochran Rd, Suite 490, Pittsburgh, PA 15220-1203 |
| Street Address |
313 W BARR ST |
| City | MCDONALD |
| State | PA |
| Zip | 15057-1423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jillian Elizabeth Lackner | Nurse Practitioner | Preferred Primary Care Physicians, Inc. | 313 W Barr St, Mcdonald, PA 15057-1423 |
| Michael J Speca | Family Medicine | Preferred Primary Care Physicians, Inc. | 313 W Barr St, Mcdonald, PA 15057-1423 |
| Emily Elizabeth Johnson | Physician Assistant | Preferred Primary Care Physicians, Inc. | 313 W Barr St, Mcdonald, PA 15057-1423 |
| Alfred Dunn | Nurse Practitioner | Preferred Primary Care Physicians, Inc. | 313 W Barr St, Mcdonald, PA 15057-1423 |
| Frank A Civitarese | Family Medicine | Preferred Primary Care Physicians, Inc. | 313 W Barr St, Mcdonald, PA 15057-1423 |
| Louis A Civitarese | Family Medicine | Preferred Primary Care Physicians, Inc. | 313 W Barr St, Mcdonald, PA 15057-1423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda R Bankovich | Physical Therapy | Equus Physical Therapy Inc | 130 E Lincoln Ave, Mc Donald, PA 15057-1426 |
| James L Goodge Iii | Chiropractic | Randour Chiropractic Clinic PC | 105 W Ohara St, Mc Donald, PA 15057-1441 |
| James Lloyd Goodge Iv | Chiropractic | Randour Chiropractic Clinic PC | 105 W Ohara St, Mc Donald, PA 15057-1441 |
| Donald A Robison | Chiropractic | Randour Chiropractic Clinic PC | 105 W Ohara St, Mc Donald, PA 15057-1441 |
| City | MCDONALD |
| Zip Code | 15057 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MCDONALD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jared Carl Bovalino.
| 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.