Dr Mary Beth Ann O'hara, DO | |
121 Jpm Rd, Lewisburg, PA 17837-9313 | |
(570) 551-0300 | |
Not Available |
Full Name | Dr Mary Beth Ann O'hara |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 121 Jpm Rd, Lewisburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790746576 | NPI | - | NPPES |
906438 | Other | PA | HIGHMARK BLUE SHIELD |
001632816 0008 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS008495L (Pennsylvania) | Primary |
Entity Name | Ideal Pediatric And Adolescent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154879096 PECOS PAC ID: 2769743970 Enrollment ID: O20180305001585 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Beth Ann O'hara, DO 121 Jpm Rd, Lewisburg, PA 17837-9313 Ph: () - | Dr Mary Beth Ann O'hara, DO 121 Jpm Rd, Lewisburg, PA 17837-9313 Ph: (570) 551-0300 |
Dr. Elam R Stoltzfus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Shalini Khurana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Dr. Jay Marlin Nissley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Dr. David M Castellan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Dr. Eric J. Schuck, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3475 | |
Dr. Shakuntala Y Varhade, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 |