David Peter Mouallem, DO | |
4 E Main St, Nanticoke, PA 18634-1602 | |
(570) 735-7474 | |
(570) 735-2921 |
Full Name | David Peter Mouallem |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 33 Years |
Location | 4 E Main St, Nanticoke, 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 |
---|---|---|---|
1730132200 | NPI | - | NPPES |
0015426480004 | Medicaid | PA | |
002460 | Other | PA | FIRST PRIORITY HEALTH |
20815 | Other | PA | GEISINGER HEALTH PLAN |
787165 | Other | PA | HIGHMARK BLUE SHIELD |
787165 | Other | PA | FIRST PRIORITY LIFE |
129122 | Other | PA | HEALTH AMERICA |
020017400 | Other | PA | BLACK LUNG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS007906L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Commonwealth Home Health & Hospice Of Wilkes-barre | Forty fort, PA | Home health agency |
Associated Family Home Care, Inc. | Kingston, PA | Home health agency |
Bayada Home Health Care, Inc. | Pittston, PA | Home health agency |
Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Commonwealth Physician Network Llc | 2668696592 | 75 |
H2 Health And Rehabilitation Services Llc | 3678880234 | 15 |
Entity Name | Commonwealth Physician Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003238635 PECOS PAC ID: 2668696592 Enrollment ID: O20140617000549 |
Mailing Address | Practice Location Address |
---|---|
David Peter Mouallem, DO 4 E Main St, Nanticoke, PA 18634-1602 Ph: (570) 258-3939 | David Peter Mouallem, DO 4 E Main St, Nanticoke, PA 18634-1602 Ph: (570) 735-7474 |
Jon J Olenginski, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 128 E Main St, Nanticoke, PA 18634 Phone: 570-258-1304 Fax: 570-258-1305 |