Dr Paul W Bisio, DO | |
21 Commerce Cir, Mount Pocono, PA 18344-1362 | |
(570) 839-3633 | |
(570) 839-6490 |
Full Name | Dr Paul W Bisio |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 21 Commerce Cir, Mount Pocono, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245205608 | NPI | - | NPPES |
001864580 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS009607L (Pennsylvania) | Primary |
Entity Name | Chs Professional Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710987417 PECOS PAC ID: 4880591288 Enrollment ID: O20040521000334 |
Entity Name | Lvhn Coordinated Professional Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366082554 PECOS PAC ID: 2163851858 Enrollment ID: O20200331003752 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul W Bisio, DO 100 N Academy Ave, Danville, PA 17822-3034 Ph: (570) 271-6144 | Dr Paul W Bisio, DO 21 Commerce Cir, Mount Pocono, PA 18344-1362 Ph: (570) 839-3633 |
Dr. Matthew R. Kozma, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 Market Way, Mount Pocono, PA 18344 Phone: 570-839-3633 Fax: 570-839-6490 | |
Dr. Sylvia M. Bolock, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 Market Way, Mount Pocono, PA 18344 Phone: 570-839-3633 | |
Bu Jung Kim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 126 Market Way, Mount Pocono, PA 18344 Phone: 570-839-3633 Fax: 570-839-6490 |