Dr Gerard Maritato, MD | |
1839 Fair Ave, Honesdale, PA 18431-2121 | |
(570) 251-6500 | |
(570) 253-8174 |
Full Name | Dr Gerard Maritato |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1839 Fair Ave, Honesdale, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326032848 | NPI | - | NPPES |
469483 | Other | PA | BLUE SHIELD |
001162596 | Medicaid | PA | |
814103 | Other | PA | FIRST PRIORITY HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD043513E (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | MD043513E (Pennsylvania) | Primary |
Entity Name | Pennsylvania Physician Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343 |
Mailing Address | Practice Location Address |
---|---|
Dr Gerard Maritato, MD 1623 Jefferson Ave, Dunmore, PA 18509-2031 Ph: (570) 251-6500 | Dr Gerard Maritato, MD 1839 Fair Ave, Honesdale, PA 18431-2121 Ph: (570) 251-6500 |
William Frederick Davis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1839 Fair Ave, Honesdale, PA 18431 Phone: 570-251-6500 Fax: 570-253-8174 | |
Dr. Joseph Charles Seprosky Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1839 Fair Ave, Honesdale, PA 18431 Phone: 570-251-6500 Fax: 570-253-5697 | |
Dr. Rameez Husain Chaviwala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1839 Fair Ave, Honesdale, PA 18431 Phone: 570-251-6500 | |
Faith H Frable, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Park St, Emergency Dept, Honesdale, PA 18431 Phone: 570-253-8140 Fax: 570-253-8633 | |
Jon Kogod Sternburg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1839 Fair Ave, Honesdale, PA 18431 Phone: 570-251-6500 Fax: 570-253-8174 | |
Paula Rickard Bennett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1839 Fair Ave, Honesdale, PA 18431 Phone: 570-251-6500 Fax: 570-253-8195 | |
James Garland Cruse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Maple Ave Ste 2, Honesdale, PA 18431 Phone: 570-251-6672 Fax: 570-251-6668 |