Olena Macnichol, MD
Individual provider Active NPI Hospice and Palliative Medicine (Internal Medicine) Physician · Chambersburg, PA
NPI 1720409279 · NPPES record last updated Aug 29, 2016
Key facts
- NPI
- 1720409279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X
- License
- MD454381 (PA)
- Practice address
- 112 N 7TH St
Chambersburg, PA 17201-1720 - Phone
- (717) 262-4546
- Fax
- (717) 263-1146
- NPI assigned
- Dec 31, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hospice/Palliative Care
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apogee Medical Group of Pennsylvania PC
Practice addresses (Care Compare)
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-5585
Hospital & facility affiliations
- Conemaugh Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20150720002030 | PA | Practitioner - Hospice/Palliative Care |
1557674512 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD454381 | PA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group of Pennsylvania PC | Current |
Accepting new patients | |
| DLP Conemaugh Meyersdale Medical Center LLC | Current |
Accepting new patients | |
| DLP Meyersdale Medical Center LLC | Current |
Accepting new patients | |
| DLP Conemaugh Meyersdale Medical Center LLC | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Current |
Accepting new patients |
Locations
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911
312 Industrial Park Rd
Meyersdale, PA 15552
Phone (814) 534-9123
Interoperability endpoints
- omacnichol37276@direct.conemaugh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD454381 | PA | Yes |
Addresses
Primary practice location
112 N 7TH St
Chambersburg, PA 17201-1720
Mailing address
785 5TH Ave
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 867633 | Other | PA | MEDICARE GROUP # |
| 1007307260053 | Other | PA | MEDICAID GROUP # |
Other providers in Chambersburg, PA
- Diana J Lyon-Loftus
- Robert Patrick Lyons
- Barbara Macdonald
- Lori Calandrelli Mace
- Tammy Maclay
- Laszlo Irwin Madaras
- Madeira Chiropractic and Rehabilitation PC
- Alfred Louis Madeira
- Samantha Leigh Madison
- Eduardo Santana Magalhaes
All providers in Chambersburg, PA · Hospice and Palliative Medicine (Internal Medicine) 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 Aug 29, 2016. 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.