Dr Dino J Baca, DO | |
1 Hospital Dr, Lewisburg, PA 17837-9350 | |
(570) 522-4260 | |
(570) 768-3704 |
Full Name | Dr Dino J Baca |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1 Hospital Dr, Lewisburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871580860 | NPI | - | NPPES |
0017945380009 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS009525L (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Dr Dino J Baca, DO 1 Hospital Dr Ste 306, Lewisburg, PA 17837-9350 Ph: (570) 522-4110 | Dr Dino J Baca, DO 1 Hospital Dr, Lewisburg, PA 17837-9350 Ph: (570) 522-4260 |
Dr. Elam R Stoltzfus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Shalini Khurana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Dr. Jay Marlin Nissley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Dr. David M Castellan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Dr. Eric J. Schuck, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3475 | |
Dr. Mary Beth Ann O'hara, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 121 Jpm Rd, Lewisburg, PA 17837 Phone: 570-551-0300 | |
Dr. Shakuntala Y Varhade, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 |