Dr Michael E Kordek, MD | |
499 Wyoming Ave, Kingston, PA 18704-3602 | |
(570) 283-2161 | |
(570) 714-0670 |
Full Name | Dr Michael E Kordek |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 499 Wyoming Ave, Kingston, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114987484 | NPI | - | NPPES |
0010292730001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD027149E (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 Michael E Kordek, MD 100 N Academy Ave, Credentials Dept, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Michael E Kordek, MD 499 Wyoming Ave, Kingston, PA 18704-3602 Ph: (570) 283-2161 |
Dr. Anthony Giardina, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 349 Pierce St, Kingston, PA 18704 Phone: 570-288-2300 Fax: 570-288-2298 | |
Danita Renelsa Fox, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Sharpe Street, Kingston, PA 18704 Phone: 570-552-8966 Fax: 570-552-8958 | |
Dr. Brent Keen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 499 Wyoming Ave, Kingston, PA 18704 Phone: 570-714-3050 Fax: 570-714-3051 | |
Soohan Mansuri, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-714-3333 Fax: 570-338-3993 | |
Dr. Maureen M Litchman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Sharpe Street, Kingston, PA 18704 Phone: 570-552-8900 Fax: 570-552-8958 | |
Dr. Kimberly Ann M. Kovalick, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 560 Pierce St, Kingston, PA 18704 Phone: 570-283-2161 Fax: 570-714-0670 |