Dr Luis Fernandez De La Fuente, MD | |
700 Quincy Ave, 5th Fl, Scranton, PA 18510-1798 | |
(570) 340-2552 | |
(570) 340-2446 |
Full Name | Dr Luis Fernandez De La Fuente |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 700 Quincy Ave, Scranton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629271580 | NPI | - | NPPES |
001845744 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD071376L (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 Luis Fernandez De La Fuente, MD 700 Quincy Ave, 5th Fl, Scranton, PA 18510-1798 Ph: (570) 770-7546 | Dr Luis Fernandez De La Fuente, MD 700 Quincy Ave, 5th Fl, Scranton, PA 18510-1798 Ph: (570) 340-2552 |
Ms. Alana Rickard, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 531 Mt Pleasant Dr, Scranton, PA 18503 Phone: 570-342-8500 Fax: 570-558-2290 | |
Marie S Lena, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 531 Mt Pleasant Dr, Scranton, PA 18503 Phone: 570-342-8500 Fax: 570-558-2290 | |
Mr. Vincent Luciano Ross, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 442 N Main Ave, Scranton, PA 18504 Phone: 570-347-5605 Fax: 570-347-5606 | |
Dr. Michael Rogan, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 2232 Pittston Ave, Scranton, PA 18505 Phone: 570-340-2100 | |
Violeta Marina Lizano, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Smallacombe Dr, Scranton, PA 18508 Phone: 570-961-0171 Fax: 570-207-2411 | |
Christine Burke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 959 Wyoming Ave, Scranton, PA 18509 Phone: 570-344-9684 Fax: 570-969-0968 | |
Dr. Elizabeth Escalante, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, 5th Fl, Scranton, PA 18510 Phone: 570-770-7546 Fax: 570-770-7545 |