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John Christian Italia

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

203 Lothrop St Ste 300, Pittsburgh, PA 15213-2548

PECOS Enrollment

This provider is enrolled in PECOS as JOHN ITALIA.

Based on the most recent information from CMS, provider John Christian Italia 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
1366221061
Provider Type
Individual
Full Name
Italia, John Christian
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
9/22/2023
Last Updated
9/22/2023

Contact Information

Practice Location

203 Lothrop St Ste 300, Pittsburgh, PA 15213-2548

(412) 647-2100

(412) 647-2171

Mailing Location

2645 Railroad St Apt 360, Pittsburgh, PA 15222-5632

(724) 944-3064

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA064735 Pennsylvania

John Christian Italia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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