Dr Fortunata Verdetti, MD | |
2128 Blakeslee Boulevard Dr E, Lehighton, PA 18235-9619 | |
(610) 402-5369 | |
Not Available |
Full Name | Dr Fortunata Verdetti |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 2128 Blakeslee Boulevard Dr E, Lehighton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386851855 | NPI | - | NPPES |
101954269-0003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD431433 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | MD431433 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Advanced Inpatient Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871725366 PECOS PAC ID: 6406995778 Enrollment ID: O20091125000458 |
Entity Name | Advanced Inpatient Medicine Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396168589 PECOS PAC ID: 8921230749 Enrollment ID: O20140410000089 |
Mailing Address | Practice Location Address |
---|---|
Dr Fortunata Verdetti, MD P O Box 1096, Kingston, PA 18704-0096 Ph: (570) 208-5534 | Dr Fortunata Verdetti, MD 2128 Blakeslee Boulevard Dr E, Lehighton, PA 18235-9619 Ph: (610) 402-5369 |
Dr. Mohammad Fawwad Khan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 211 N 12th St, Lehighton, PA 18235 Phone: 610-377-7174 Fax: 610-377-4785 |