Carly R Potchak
Medical Specialty
Professional ID
- NPI: 1154849917
- PECOS ID: 5698032902
- Enrollment ID: I20171121002945
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2017
Hospital Service
- Hospital CCN1: 390036
- Business Name (LBN)1: Heritage Valley Beaver
Medical Practices
- Organization Name: Heritage Valley Medical Group Inc
- Group Practice ID assigned by PECOS: 0042105678
- Number of Group Practice member: 205
Location
- Address1: 1000 Dutch Ridge Rd
- Address2:
- City: Beaver
- State: Pennsylvania
- Zip Code: 15009
- Phone Number:
Location
- Address1: 500 Sharon Rd
- Address2:
- City: Beaver
- State: Pennsylvania
- Zip Code: 15009
- Phone Number: (724)728-8751
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):