Dr Anthony Alan Wylie, DO | |
300 Keystone Ave, Pittston, PA 18640-6153 | |
(833) 552-1852 | |
(570) 214-1525 |
Full Name | Dr Anthony Alan Wylie |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 300 Keystone Ave, Pittston, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295992204 | NPI | - | NPPES |
1023187380001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS014176 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Geisinger-hm Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Alan Wylie, DO 100 N Academy Ave, Credentials Dept, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Anthony Alan Wylie, DO 300 Keystone Ave, Pittston, PA 18640-6153 Ph: (833) 552-1852 |
Dr. Thomas Howard Tonkin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Keystone Ave, Pittston, PA 18640 Phone: 833-552-1852 Fax: 570-214-1525 | |
Ripal Patel, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 42 Main St, Pittston, PA 18640 Phone: 570-654-0880 | |
Gihan Jayasuriya, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1099 S Township Blvd, Pittston, PA 18640 Phone: 570-602-2400 | |
Dr. Michalene Torbik, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1099 S Township Blvd, Pittston, PA 18640 Phone: 570-655-1496 Fax: 570-883-7446 | |
Evan Z Nakib, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1099 S Township Blvd, Pittston, PA 18640 Phone: 570-602-2400 | |
Dr. Lisa Catherine Tricarico, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 457 North Main St, Ste 105, Pittston, PA 18640 Phone: 570-883-9444 Fax: 570-883-9333 |