Bruce D Nicholson, MD | |
1259 S Cedar Crest Blvd Ste 317, Allentown, PA 18103 | |
(610) 402-1757 | |
(610) 402-9089 |
Full Name | Bruce D Nicholson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 41 Years |
Location | 1259 S Cedar Crest Blvd Ste 317, Allentown, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669460481 | NPI | - | NPPES |
0012842940 | Medicaid | PA | |
0432922-002 | Other | PA | CIGNA |
1234452 | Other | PA | THREE RIVERS |
P2616744 | Other | PA | OXFORD |
0559065000 | Other | PA | INDEP. BLUE CROSS |
07721766 | Other | PA | GATEWAY |
20008174 | Other | PA | AMERIHEALTH MERCY |
30000048 | Other | PA | KEYSTONE MERCY |
815211 | Other | PA | AETNA |
1284294 | Other | PA | HIGHMARK |
01216902 | Other | PA | CAP BLUE CROSS |
0721766 | Other | PA | KHP CENTRAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | MD046894L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lehigh Valley Hospital | Allentown, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lehigh Valley Physician Group | 3072425123 | 1892 |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
---|---|
Bruce D Nicholson, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Bruce D Nicholson, MD 1259 S Cedar Crest Blvd Ste 317, Allentown, PA 18103 Ph: (610) 402-1757 |
Jay Soo Jung, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 17th & Chew Street, Allentown, PA 18102 Phone: 610-402-9029 Fax: 610-402-9029 | |
Dr. Melissa Harrison, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1736 W Hamilton St, Allentown, PA 18104 Phone: 610-628-8372 Fax: 610-628-8648 | |
Andrew Newman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 421 Chew St, Allentown, PA 18102 Phone: 610-776-4500 | |
Anthony G. Messina, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 926 N Cedar Crest Blvd Apt B926, Allentown, PA 18104 Phone: 385-313-4170 Fax: 801-303-6556 | |
Michael David Ragusa, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-6164 | |
Robert J. Corba, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 250 Cetronia Road, Allentown, PA 18104 Phone: 610-973-6200 Fax: 610-973-6545 | |
Shaune Corrinne Southern, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000 |