Dr Karina Geronilla Phang, MD is a medicare enrolled "Pediatrics" physician in Pittston, Pennsylvania. Her current practice location is
57 N Main St, Pittston, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 602-5620.
Dr Karina Geronilla Phang is licensed to practice in Pennsylvania (license number MD469117) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215357256.
Physician's Profile
Full Name | Dr Karina Geronilla Phang |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 57 N Main St, Pittston, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215357256
- Provider Enumeration Date: 04/17/2014
- Last Update Date: 05/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911209408
- Enrollment ID: I20170726001274
Medical Identifiers
Medical identifiers for Dr Karina Geronilla Phang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215357256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 40774 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208000000X | Pediatrics | MD469117 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Karina Geronilla Phang allows following entities to bill medicare on her behalf.
Entity Name | University Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Karina Geronilla Phang is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Karina Geronilla Phang, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Karina Geronilla Phang, MD 57 N Main St, Pittston, PA 18640-1915 Ph: (570) 602-5620 |
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