Dr Joseph A Weader, MD | |
425 E 1st St, Ste 201, Bloomsburg, PA 17815-1480 | |
(570) 416-1816 | |
(570) 416-1810 |
Full Name | Dr Joseph A Weader |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 425 E 1st St, Bloomsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114978590 | NPI | - | NPPES |
0006917600009 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD011656E (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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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 Joseph A Weader, MD 100 N Academy Ave, Credentials Dept, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Joseph A Weader, MD 425 E 1st St, Ste 201, Bloomsburg, PA 17815-1480 Ph: (570) 416-1816 |
Dr. Amy V. Everett, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 425 E 1st St, Ste 201, Bloomsburg, PA 17815 Phone: 570-416-1816 Fax: 570-416-1810 | |
Dr. Tapash K. Sengupta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 425 E 1st St, Ste 201, Bloomsburg, PA 17815 Phone: 570-416-1816 Fax: 570-416-1810 | |
Laura Elizabeth Spahr, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 425 East First St, Ste. 201, Bloomsburg, PA 17815 Phone: 570-416-1816 | |
Dr. Amanda R. Manning, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 425 E 1st St, Ste 201, Bloomsburg, PA 17815 Phone: 570-416-1816 Fax: 570-416-1810 |