Diana Tacelosky, MD, PHD | |
701 W Oak St, Frackville, PA 17931-1672 | |
(570) 874-4100 | |
(570) 874-4182 |
Full Name | Diana Tacelosky |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 701 W Oak St, Frackville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093165540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0116029131 (Virginia) | Secondary |
207Q00000X | Family Medicine | MD482087 (Pennsylvania) | Primary |
Entity Name | The Milton S Hershey Medical Center Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
Mailing Address | Practice Location Address |
---|---|
Diana Tacelosky, MD, PHD 701 W Oak St, Frackville, PA 17931-1672 Ph: (570) 874-4100 | Diana Tacelosky, MD, PHD 701 W Oak St, Frackville, PA 17931-1672 Ph: (570) 874-4100 |
Richard Thomas Hale, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 West Oak St, Frackville, PA 17931 Phone: 570-874-4100 | |
Dr. James P. Langon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 W Oak St, Frackville, PA 17931 Phone: 570-874-4100 Fax: 570-874-4182 | |
James C Greenfield, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 W Frack St, Frackville, PA 17931 Phone: 570-794-6123 Fax: 570-794-6124 | |
Dr. Casey D. Nowak, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 W Oak St, Frackville, PA 17931 Phone: 570-874-4100 Fax: 570-874-4182 | |
Dr. Thomas R. Graf, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 W Oak St, Frackville, PA 17931 Phone: 570-874-4100 Fax: 570-874-4182 | |
Anne Patricia Cadau, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 W Oak St, Frackville, PA 17931 Phone: 570-874-4100 Fax: 570-874-4182 |