Dr Michael J O'donnell, MD | |
327 N Washington Ave, Ste 200, Scranton, PA 18503-1535 | |
(570) 961-5522 | |
(570) 207-5579 |
Full Name | Dr Michael J O'donnell |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 38 Years |
Location | 327 N Washington Ave, Scranton, 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 |
---|---|---|---|
1215930722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD041957E (Pennsylvania) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD041957E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger-community Medical Center | Scranton, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lackawanna Valley Dermatology Associates Limited | 2668459066 | 16 |
Entity Name | Lackawanna Valley Dermatology Associates Limited |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982791117 PECOS PAC ID: 2668459066 Enrollment ID: O20040702000824 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J O'donnell, MD 327 N Washington Ave, Ste 200, Scranton, PA 18503-1535 Ph: (570) 961-5522 | Dr Michael J O'donnell, MD 327 N Washington Ave, Ste 200, Scranton, PA 18503-1535 Ph: (570) 961-5522 |
Dr. Gregg Anthony Severs, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave, Suite 200, Scranton, PA 18503 Phone: 570-961-5522 Fax: 570-207-5579 | |
Dr. Mark F Suchter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave, Suite 200, Scranton, PA 18503 Phone: 570-961-5522 | |
Dr. Peter Edward Boor, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave Ste 200, Scranton, PA 18503 Phone: 570-961-5522 | |
Dr. Douglas Levi Sheldon, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 327 N Washington Ave, Ste 200, Scranton, PA 18503 Phone: 570-961-5522 Fax: 570-961-5579 | |
Dr. Mark Anthony Marsili, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave, Ste 200, Scranton, PA 18503 Phone: 570-961-5522 Fax: 570-207-5579 | |
Dr. Ted Michael Stampien, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave Ste 200, Scranton, PA 18503 Phone: 570-961-5522 Fax: 570-207-5579 |