Michelle Lee Cacek, D.O.
Individual provider Active NPI Diagnostic Radiology Physician · Johnstown, PA
NPI 1457572042 · NPPES record last updated Jan 9, 2012
Key facts
- NPI
- 1457572042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- OS015044 (PA)
- Practice address
- 1086 Franklin St
Johnstown, PA 15905-4305 - Phone
- (814) 539-5987
- Fax
- (814) 535-4176
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 15
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quantum Imaging and Therapeutic Associates Inc
Kettering Network Radiologists Inc
Practice addresses (Care Compare)
1270 Summit Way
Mechanicsburg, PA 17050-2680
Phone (717) 932-5200
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 932-5200
240 Grandview Ave
Camp Hill, PA 17011-1706
Phone (717) 932-5200
300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 932-5200
361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 932-5200
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 932-5200
4518 Union Deposit Rd
Harrisburg, PA 17111-2921
Phone (717) 932-5200
51 Business Campus Way
Suite 100
Duncannon, PA 17020-9596
Phone (717) 932-5200
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
- Penn State Health Holy Spirit Medical Center
- Upmc Carlisle
- Upmc Hanover
- Upmc Memorial
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100630000047 | PA | Practitioner - Diagnostic Radiology | 9638200975 | Reassigns benefits to 5 organizations |
| I20260513000520 | OH | Practitioner - Diagnostic Radiology | 9638200975 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Network Radiologists Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Geisinger Clinic | Diagnostic Radiology | Current |
Accepting new patients |
| Quantum Imaging & Therapeutic Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current |
Accepting new patients |
| University of Pittsburgh Physicians | Diagnostic Radiology | Current |
Accepting new patients |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Allegheny Radiology Associates, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880
100 N Academy Ave
#C30192
Danville, PA 17822
100 N Academy Ave
Danville, PA 17822
51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS015044 | PA | Yes |
Addresses
Primary practice location
1086 Franklin St
Johnstown, PA 15905-4305
Mailing address
239 Main St
Suite 400
Johnstown, PA 15901-1640
Phone (814) 539-5987
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2499274 | Other | PA | HIGHMARK BC BS |
| 102472237 | Medicaid | PA |
Other providers in Johnstown, PA
- Mary Alice K Burtnett
- Lori Jayne Buynack
- Danielle Buzzacco
- Colleen R Byrne
- Ca Peer Support Specialists LLC
- Misty L Caddy
- Robert J Callahan
- Nathaniel Callaway
- Bradley Scott Callihan
- Celena Marie Calpin
All providers in Johnstown, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.