MEDICARE: MARET ELIZABETH BERNARD 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	MA0573252	PA

General Provider Information

NPI Number	:	1932597358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARET ELIZABETH BERNARD PA-C

Provider Business Mailing Address
First Line	:	1565 OAK ST
Second Line	:
City	:	OAKMONT
State	:	PA
Zip	:	15139-1032
Country	:	US
Telephone Number	:	412-877-9108
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 BESSEMER RD
Second Line	:
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-9134
Country	:	US
Telephone Number	:	724-542-4321
Fax Number	:	724-542-4298

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

Provider Enumeration Date	:	01/07/2015
Last Update Date	:	03/17/2018

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