MEDICARE: FAYETTE MEDICAL ASSOCIATES INC

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	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	26024	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	356566	OTHER	PA	HIGHMARK
3	78017	OTHER	PA	UNISON
4	WC06	OTHER	PA	HEALTH AMERICA
5	1038270	OTHER	PA	GATEWAY
6	E034	OTHER	PA	UPMC

General Provider Information

NPI Number	:	1659345924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAYETTE MEDICAL ASSOCIATES INC

Provider Business Mailing Address
First Line	:	112 YOUNGSTOWN RD
Second Line	:	SUITE 101
City	:	LEMONT FURNACE
State	:	PA
Zip	:	15456-1344
Country	:	US
Telephone Number	:	724-425-8317
Fax Number	:	724-425-8326

Provider Business Practice Location Address
First Line	:	2175 MCCLELLANDTOWN RD
Second Line	:	SUITE 201
City	:	MASONTOWN
State	:	PA
Zip	:	15461-2593
Country	:	US
Telephone Number	:	724-583-2819
Fax Number	:	724-583-8550

Authorized Official
Title or Position	:	MEDICAL BILLER
Name	:	CHARLENE PULICE
Credential	:
Telephone Number	:	724-425-8317

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	11/04/2011

Similar Medicare Providers

1124028527 — BRIAN MUDRY D.O.
Practice Location Address:

2175 MCCLELLANDTOWN RD , SUITE 201
MASONTOWN, PA
15461-2593

Practice Phone: 724-583-1401
Practice Fax: 724-583-8550

1467773820 — ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, L.L.C.
Practice Location Address:

2183 MCCLELLANDTOWN ROAD
MASONTOWN, PA
15461-2593

Practice Phone: 724-583-2680
Practice Fax: 784-583-2685

1669793907 — JACLYN DELGRECO D.O.
Practice Location Address:

2175 MCCLELLANDTOWN RD
MASONTOWN, PA
15461-2593

Practice Phone: 724-583-2819
Practice Fax:

1538480751 — ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, L.L.C.
Practice Location Address:

2181 MCCLELLANDTOWN RD
MASONTOWN, PA
15461-2593

Practice Phone: 724-583-0414
Practice Fax: 724-583-2085

1780086967 — FAYETTE PHYSICIAN NETWORK INC
Practice Location Address:

2175 MCCLELLANDTOWN RD , SUITE 201
MASONTOWN, PA
15461-2593

Practice Phone: 724-583-2819
Practice Fax: 724-583-8550

1053704429 — FAYETTE PHYSICIAN NETWORK INC
Practice Location Address:

2175 MCCLELLANDTOWN RD
MASONTOWN, PA
15461-2593

Practice Phone: 724-583-2819
Practice Fax:

Directions to “FAYETTE MEDICAL ASSOCIATES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.