George L Provost, MD | |
1210 Hanover Ave, Allentown, PA 18109-2017 | |
(610) 437-6490 | |
(610) 437-4151 |
Full Name | George L Provost |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 47 Years |
Location | 1210 Hanover Ave, Allentown, 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 |
---|---|---|---|
1285620641 | NPI | - | NPPES |
0017584420001 | Medicaid | PA | |
014563 | Other | HIGHMARK | |
P002518 | Other | GATEWAY | |
0040759000 | Other | IBC | |
20011415 | Other | AMERIHEALTH MERCY HEALTH | |
01371901 | Other | CBC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD020842E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
Lehigh Valley Hospital | Allentown, PA | Hospital |
St Luke's Hospital - Anderson Campus | Easton, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Luke's Physician Group Inc | 6709798333 | 1727 |
Star Community Health Inc | 7618215237 | 32 |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Star Community Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033686159 PECOS PAC ID: 7618215237 Enrollment ID: O20190206002009 |
Mailing Address | Practice Location Address |
---|---|
George L Provost, MD 421 W Chew St, Allentown, PA 18102-3406 Ph: (610) 776-5100 | George L Provost, MD 1210 Hanover Ave, Allentown, PA 18109-2017 Ph: (610) 437-6490 |
Dr. Xander Arwand, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103 Phone: 610-402-8900 Fax: 610-402-5656 | |
John E Connelly, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 N 17th St, Suite # 108, Allentown, PA 18104 Phone: 610-434-4760 Fax: 610-820-9122 | |
Dr. Ann Marie Lam, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1251 S Cedar Crest Blvd, Suite 102 A, Allentown, PA 18103 Phone: 610-402-3940 Fax: 610-102-3950 | |
Leyland Robinson, Family Medicine Medicare: Medicare Enrolled Practice Location: 3435 Winchester Rd Ste 201, Allentown, PA 18104 Phone: 610-402-0100 | |
Aminata Sano, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 Chew St Ste 101, Allentown, PA 18102 Phone: 610-776-4888 | |
Dr. Joseph Thomas Termini, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 942 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-433-0404 | |
Madhavi Capoccia, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cetronia Rd, Suite 115, Allentown, PA 18104 Phone: 610-395-0307 Fax: 610-395-0950 |