Kelli K Desanctis (NPI# 1598057424, PAC ID# 5799902086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598057424 |
| PAC ID by PECOS | 5799902086 |
| Professional Enrollment ID | I20140811000667 |
| Full Name | Kelli K Desanctis |
| Organization Legal Name | ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC |
| Address |
155 E State St Albion Family Practice Albion PA 16401-1347 |
| Phone Number | 8147564917 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870405137 |
| Number of Group Practice Members | 187 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390009 | SAINT VINCENT HOSPITAL |
| 390063 | UPMC HAMOT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 155 E State St, Albion Family Practice, Albion, PA 16401-1347 | 8147564917 | ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC |
| 2501 W 12th St, Erie, PA 16505-4527 | ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC |
| Organization Legal Name | ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Conway | Family Medicine | St Vincent Medical Education and Research Institute Inc | 3822 Colonial Ave, Erie, PA 16506-3826 |
| Kayla Gabbard | Nurse Practitioner | St Vincent Medical Education and Research Institute Inc | 204 W 26th St, St Vincent Orthopaedic, Erie, PA 16508-1806 |
| Timothy Justin Germain | Plastic and Reconstructive Surgery | St Vincent Medical Education and Research Institute Inc | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 |
| Barbara S Peckham-devine | Certified Nurse Midwife (cnm) | St Vincent Medical Education and Research Institute Inc | 2265 Market Streete B, St Vincent Ob Gyn, Warren, PA 16365-4682 |
| Elias Fares | Infectious Disease | St Vincent Medical Education and Research Institute Inc | 2314 Sassafras St, Suite 310, Erie, PA 16502-2721 |
| Geoffrey B Betz | Family Medicine | St Vincent Medical Education and Research Institute Inc | 2501 W 12th St, Millcreek Family Practice and Internal Medicine, Erie, PA 16505-4527 |
| Maggie R Biebel | Family Medicine | St Vincent Medical Education and Research Institute Inc | 450 Erie St, Edinboro Medical Center, Edinboro, PA 16412-2200 |
| Mohammad Elmusa | Family Medicine | St Vincent Medical Education and Research Institute Inc | 2828 Sterrettania Rd, Erie, PA 16506-3050 |
| Jan K Brydon | Dermatology | St Vincent Medical Education and Research Institute Inc | 1910 Sassafras St, Suite 301, Erie, PA 16502-2716 |
| Cynthia Dahlkemper | Nurse Practitioner | St Vincent Medical Education and Research Institute Inc | 4950 Buffalo Rd, Erie, PA 16510-2304 |
| Street Address |
155 E STATE ST ALBION FAMILY PRACTICE |
| City | ALBION |
| State | PA |
| Zip | 16401-1347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Moraski | Registered Dietitian Or Nutrition Professional | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Garrick Edward Drabina | Physician Assistant | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Jill M Fuller | Nurse Practitioner | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Leonard J Leone | Neurology | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Brianne Hodge | Physician Assistant | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Thomas Michael Johnson | Physician Assistant | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| David E Overare | Family Medicine | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Nicole Ehrman | Physician Assistant | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Dana Elizabeth Faipler | Physician Assistant | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Tyler Daniel Budziszewski | Physician Assistant | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridget L Dolnosich | Physical Therapy | Anderson Physical Therapy Etc PC | 6 E State St, Albion, PA 16401-1111 |
| Thomas James Peyton | Chiropractic | 42 S Main St, Albion, PA 16401-1123 | |
| Kristopher Lee Bright | Chiropractic | 42 S Main St, Albion, PA 16401-1123 | |
| Kippy Marie Bodosky | Nurse Practitioner | Medical Associates of Erie | 210 E State St, Albion, PA 16401-1306 |
| David Joseph Bodosky | Family Medicine | Medical Associates of Erie | 210 E State St, Albion, PA 16401-1306 |
| Divya Koradia | Family Medicine | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Shauna D Mack | Nurse Practitioner | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Mark T Bloomstine | Orthopedic Surgery | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Eric R Wrotney | Physician Assistant | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Destiny Mayo-juratovic | Nurse Practitioner | St Vincent Medical Education and Research Institute Inc | 155 E State St, Albion Family Practice, Albion, PA 16401-1347 |
| Find all physicians in zip 16401 | |||
| City | ALBION |
| Zip Code | 16401 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALBION + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kelli K Desanctis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.