Individual
MS. DEBORAH A BACESKI
Active
Individual
MS. DEBORAH A BACESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD020766E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000153392
KEYSTONE HEALTH PLAN WEST
PA
01
—
110031490
PALMETTO GBA
PA
01
—
25-1381943
UMWA
PA
01
—
251381943
UPMC
PA
01
—
BA153392
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/03/2005
Last updated
07/08/2007
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