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Louis Andrew Yancich

Male

Medical Specialty

Professional ID

NPI: 1861432593
PECOS ID: 9830169366
Enrollment ID: I20041001001093
Credential(MD, DO, DPM): DO
Medical School:
Medical School Graduation Year: 1990

Hospital Service

Hospital CCN1: 511318
Business Name (LBN)1: Montgomery General Hospital, Inc
Hospital CCN2: 511320
Business Name (LBN)2: Jackson General Hospital

Medical Practices

Organization Name: New Lifeclinics Inc
Group Practice ID assigned by PECOS: 5092935213
Number of Group Practice member: 3

Location

Address1: 1927 Rock Cliff Dr
Address2:
City: Martinsburg
State: West Virginia
Zip Code: 25401
Phone Number: (304)264-4020

Location

Address1: 6775 Point Pleasant Rd
Address2:
City: Millwood
State: West Virginia
Zip Code: 25262
Phone Number: (724)513-4881

Medical Practices

Organization Name: Montgomery General Hospital, Inc
Group Practice ID assigned by PECOS: 6204735269
Number of Group Practice member: 13

Location

Address1: 401 6th Ave
Address2:
City: Montgomery
State: West Virginia
Zip Code: 25136
Phone Number: (304)442-5151

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS):
Used Electronic health record (EHR):