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Bernadette Decaria

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

200 Lothrop St 9th Fl Ft, Pittsburgh, PA 15213

PECOS Enrollment

Based on the most recent information from CMS, provider Bernadette Decaria is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1245312669
Provider Type
Individual
Full Name
Decaria, Bernadette
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
10/19/2006
Last Updated
7/8/2007

Contact Information

Practice Location

200 Lothrop St 9th Fl Ft, Pittsburgh, PA 15213

(412) 647-3087

Unlisted Fax

Mailing Location

200 Lothrop St, Pittsburgh, PA 15213-2536

(412) 647-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA051280 Pennsylvania

Bernadette Decaria

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Petrichevich, Jaclyn

Vanlieshout, Adam

Grobe, Ashley

Houliahn, Jennifer F

Depierre, Sara E

Fatigante, Kathryn E.

Jenkins, Katherine

Shin, Louisa Urgo

Guerriero, Emily

Keriotis, Denise