Dr Tyler John Wallen, DO | |
1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | |
(570) 808-6020 | |
(570) 808-2306 |
Full Name | Dr Tyler John Wallen |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 12 Years |
Location | 1000 E Mountain Blvd, Wilkes Barre, 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 |
---|---|---|---|
1407122344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | OS021217 (Pennsylvania) | Primary |
208600000X | Surgery | OT014597 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Traditional Home Health Care | Dunmore, PA | Home health agency |
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Geisinger-community Medical Center | Scranton, PA | Hospital |
Geisinger Medical Center | Danville, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
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 Tyler John Wallen, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Tyler John Wallen, DO 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 Ph: (570) 808-6020 |
Dr. Michael Daniel Harostock, M.D.9 Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-6020 Fax: 570-808-2306 | |
Jacqueline J Lee, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-6020 Fax: 570-808-2306 | |
Dr. Matthew Gerard Mullen, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-6020 Fax: 570-808-2306 | |
Steven W. Marra, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 545 N River St, Suite 220, Wilkes Barre, PA 18702 Phone: 570-819-2825 Fax: 570-819-1445 | |
Dr. Deepak Singh, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-820-6020 Fax: 570-821-2306 | |
Mohammad A Shaikh, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 |