Dr Susan Angelisanti, MD | |
333 Normal Ave, Kutztown, PA 19530-1640 | |
(610) 683-5522 | |
Not Available |
Full Name | Dr Susan Angelisanti |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 26 Years |
Location | 333 Normal Ave, Kutztown, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891790572 | NPI | - | NPPES |
2451692000 | Other | PA | INDEPENDENCE BLUE CROSS |
000000222335-HBP | Other | PA | UNISON |
1014183360001 | Medicaid | PA | |
000000222333-PCP | Other | PA | UNISON |
001769844 | Other | PA | HIGHMARK |
20064465 | Other | PA | MERCY |
50070801 | Other | PA | CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL |
1545407 | Other | PA | GATEWAY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD072027L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lehigh Valley Hospital | Allentown, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lehigh Valley Physician Group | 3072425123 | 1892 |
Entity Name | Family Care Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Lancaster General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720430812 PECOS PAC ID: 1254240039 Enrollment ID: O20040414000606 |
Entity Name | Valley Health Partners Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770118648 PECOS PAC ID: 4284065327 Enrollment ID: O20200505003199 |
Mailing Address | Practice Location Address |
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Dr Susan Angelisanti, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: () - | Dr Susan Angelisanti, MD 333 Normal Ave, Kutztown, PA 19530-1640 Ph: (610) 683-5522 |