Dr Bengt Ivarsson, MD | |
1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | |
(610) 402-9400 | |
(610) 402-9420 |
Full Name | Dr Bengt Ivarsson |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 1259 S Cedar Crest Blvd, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306985387 | NPI | - | NPPES |
001600222 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MD059004L (Pennsylvania) | Primary |
Entity Name | St Lukes Physician Group Inc |
---|---|
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 |
---|---|
Dr Bengt Ivarsson, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Dr Bengt Ivarsson, MD 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 Ph: (610) 402-9400 |
Robert D Barraco, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103 Phone: 610-402-1350 Fax: 610-402-1356 | |
Rovinder Singh Sandhu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-1350 | |
Dr. Daniel Ryan Latta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-482-8000 | |
Heiwon Chung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Suite 205, Allentown, PA 18103 Phone: 610-402-7884 | |
Dr. Marissa Lynn Dallara, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000 | |
William D Hardin Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1259 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-1259 | |
Dr. Amr Mohamed Arafa, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 451 Chew St Ste 407, Allentown, PA 18102 Phone: 332-999-5844 Fax: 610-973-3395 |