Dianne R Jacobetz, MD | |
801 Ostrum St, Bethlehem, PA 18015-1000 | |
(610) 954-3060 | |
Not Available |
Full Name | Dianne R Jacobetz |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 801 Ostrum St, Bethlehem, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790882447 | NPI | - | NPPES |
0017912780003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD066462L (Pennsylvania) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Mailing Address | Practice Location Address |
---|---|
Dianne R Jacobetz, MD 623 E Broad St, 2nd Flr, Bethlehem, PA 18018-6332 Ph: (610) 954-6048 | Dianne R Jacobetz, MD 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (610) 954-3060 |
Dr. Rafael I Colon-delgado, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2223 Linden St, Bethlehem, PA 18017 Phone: 610-866-2277 | |
David H Tauber, Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Ostrum St # Pa, Bethlehem, PA 18015 Phone: 484-526-4000 | |
Dr. Hassan Bozorgnia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4315 Easton Ave, Suite 1, Bethlehem, PA 18020 Phone: 610-861-8830 Fax: 610-861-0891 | |
Afreen Subzposh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 240 Union Station Plz, Bethlehem, PA 18015 Phone: 610-654-3060 | |
Dr. Alexandra Solosko, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 511 E 3rd St, Suite 201, Bethlehem, PA 18015 Phone: 484-526-3060 Fax: 484-526-4317 | |
Dr. Cynthia E. Weber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 240 Union Station Plz, Bethlehem, PA 18015 Phone: 610-954-3060 | |
Laurel Alanna Erickson-parsons, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 240 Union Station, Bethlehem, PA 18015 Phone: 610-954-3060 Fax: 610-954-4317 |