Dr Luke J Rodriguez, MD | |
171 Red Horse Rd, Pottsville, PA 17901-9119 | |
(104) 027-8846 | |
Not Available |
Full Name | Dr Luke J Rodriguez |
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Gender | Male |
Speciality | Surgery |
Location | 171 Red Horse Rd, Pottsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497285142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | MT214071 (Pennsylvania) | Secondary |
208600000X | Surgery | MD482480 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Schuylkill Health System Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
Mailing Address | Practice Location Address |
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Dr Luke J Rodriguez, MD 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: () - | Dr Luke J Rodriguez, MD 171 Red Horse Rd, Pottsville, PA 17901-9119 Ph: (104) 027-8846 |
Dr. M. Mohamed Meeran, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Schuylkill Medical Plz Ste 206, Pottsville, PA 17901 Phone: 570-621-5630 Fax: 570-621-5699 | |
Karolin Emia Ginting, MD Surgery Medicare: Medicare Enrolled Practice Location: 48 Tunnel Rd, Pottsville, PA 17901 Phone: 570-622-1400 | |
Tanmay G Lal, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 48 Tunnel Rd Ste 205, Pottsville, PA 17901 Phone: 570-622-1400 | |
Dr. Marylou Rainone, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Schuylkill Medical Plz, Ste 204, Pottsville, PA 17901 Phone: 570-621-5740 Fax: 570-621-6367 | |
Dr. Carlos X Villarreal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 48 Tunnel Rd, Suite 205, Pottsville, PA 17901 Phone: 570-622-1400 Fax: 570-622-8900 | |
Abdelmohsen Kholoussy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 14 Cottage Hl E, Pob 1184, Pottsville, PA 17901 Phone: 570-622-5885 |