Dr Michael A Campenni, DO | |
250 Kennedy Blvd Unit 2, Pittston, PA 18640-1811 | |
(570) 491-8141 | |
(570) 891-4284 |
Full Name | Dr Michael A Campenni |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 31 Years |
Location | 250 Kennedy Blvd Unit 2, Pittston, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053313478 | NPI | - | NPPES |
48716 | Other | PA | GEISINGER HEALTH PLAN |
0017424060001 | Medicaid | PA | |
328233 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | AZ4639 (Arizona) | Secondary |
208800000X | Urology | OS008694L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
Regional Hospital Of Scranton | Scranton, PA | Hospital |
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Geisinger-community Medical Center | Scranton, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scranton Quincy Clinic Company Llc | 0143487389 | 55 |
Entity Name | Delta Medix Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396701876 PECOS PAC ID: 0648162636 Enrollment ID: O20040325001062 |
Entity Name | Scranton Quincy Clinic Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael A Campenni, DO 250 Kennedy Blvd Unit 2, Pittston, PA 18640-1811 Ph: (570) 491-8141 | Dr Michael A Campenni, DO 250 Kennedy Blvd Unit 2, Pittston, PA 18640-1811 Ph: (570) 491-8141 |
Edward Joseph Kloniecke Iii, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1201 Oak St, Pittston, PA 18640 Phone: 570-808-9800 Fax: 570-808-9801 |