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1376546705

NPI Code Detail

MEDICARE: DR. PETER R. PLESS M.D.

MEDICARE: DR. PETER R. PLESS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	MD043713E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	070008157	OTHER	PA	PALMETTO GBA-RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	205031	OTHER	PA	UPMC HEALTH PLAN
2	251754199019	OTHER	PA	MEDICAL MUTUAL OF OHIO
3	6371345	OTHER	PA	CIGNA
4	902561	OTHER	PA	HIGHMARK BLUE CROSS SHIELD
5	E15023	OTHER	PA	HEALTH AMERICA
6	4235190002	OTHER	PA	NATIONAL SUPPLIERS CLEARINGHOUSE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376546705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER R. PLESS M.D.

Provider Business Mailing Address
First Line	:	505 POPLAR ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-3057
Country	:	US
Telephone Number	:	814-333-5875
Fax Number	:	814-333-5893

Provider Business Practice Location Address
First Line	:	505 POPLAR ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-3057
Country	:	US
Telephone Number	:	814-333-5875
Fax Number	:	814-333-5893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	06/09/2020

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Directions to “ DR. PETER R. PLESS M.D.” Practice Location

Language	Start Address	Practice Location

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