Dr Ismail O Dedeoglu, MD | |
21 Geisinger Ln, Lewistown, PA 17044-3400 | |
(717) 242-4200 | |
(717) 242-4212 |
Full Name | Dr Ismail O Dedeoglu |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 21 Geisinger Ln, Lewistown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104892355 | NPI | - | NPPES |
001688141 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD064845L (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 Ismail O Dedeoglu, MD 100 N Academy Ave, Danville, PA 17822-3034 Ph: (570) 271-6144 | Dr Ismail O Dedeoglu, MD 21 Geisinger Ln, Lewistown, PA 17044-3400 Ph: (717) 242-4200 |
Dr. Christopher Paul Severs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 21 Geisinger Ln, Lewistown, PA 17044 Phone: 717-242-4200 Fax: 717-242-4212 | |
Hema R. Murali, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-248-5411 Fax: 717-242-4212 | |
Joseph Romeo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 21 Geisinger Ln, Lewistown, PA 17044 Phone: 717-242-4291 | |
Dr. Paul Mathew Brahmakulam, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 130 Highland Ave, Lewistown, PA 17044 Phone: 717-242-1174 Fax: 717-242-3849 |