MEDICARE: SANDRA E HESS PA-C

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	363A00000X	Physician Assistant	MA054508	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	002525421	OTHER	PA	MEDICARE ADVANTAGE WEST

General Provider Information

NPI Number	:	1417266974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA E HESS PA-C

Provider Business Mailing Address
First Line	:	247 MOREWOOD AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-1861
Country	:	US
Telephone Number	:	412-622-0290
Fax Number	:	412-681-7605

Provider Business Practice Location Address
First Line	:	2508 MYRTLE ST STE 200
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16502-2700
Country	:	US
Telephone Number	:	814-452-7822
Fax Number	:	814-452-7842

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

Provider Enumeration Date	:	10/01/2010
Last Update Date	:	10/27/2020

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Directions to “ SANDRA E HESS PA-C” Practice Location

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