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NPI Code Detail

MEDICARE: REA DIRECT CARE PC

MEDICARE: REA DIRECT CARE PC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1942156914
Entity Type Code : Organization
Provider Name (Legal Business Name) : REA DIRECT CARE PC
Provider Business Mailing Address
First Line : 11676 PERRY HWY STE 2105
Second Line :
City : WEXFORD
State : PA
Zip : 15090-7200
Country : US
Telephone Number : 412-871-6564
Fax Number : 412-665-9273
Provider Business Practice Location Address
First Line : 11676 PERRY HWY STE 2105
Second Line :
City : WEXFORD
State : PA
Zip : 15090-7200
Country : US
Telephone Number : 412-871-6564
Fax Number : 412-665-9273
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARIELLE BRIDGET WILLIAMSON-REA
Credential : DO
Telephone Number : 412-871-6564
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “REA DIRECT CARE PC ” Practice Location

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