MEDICARE: DEANNA SCHWEIKERT PAC

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	363AM0700X	Medical Physician Assistant	103506	NC
2	363AM0700X	Medical Physician Assistant	MA053064	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0480730001	OTHER	NC	CIGNA GOVERMENT DMERC

General Provider Information

NPI Number	:	1780685602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA SCHWEIKERT PAC

Provider Business Mailing Address
First Line	:	380 WEST CHESTNUT STREET
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4657
Country	:	US
Telephone Number	:	724-228-1414
Fax Number	:	724-228-8579

Provider Business Practice Location Address
First Line	:	9104 BABCOCK BLVD
Second Line	:	STE 5113
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-5818
Country	:	US
Telephone Number	:	866-321-1989
Fax Number	:	740-266-1201

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	10/20/2014

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Directions to “ DEANNA SCHWEIKERT PAC” Practice Location

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