John Showalter, MD | |
1238 Bloom Rd, Danville, PA 17821-6765 | |
(570) 284-7405 | |
(833) 974-3566 |
Full Name | John Showalter |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1238 Bloom Rd, Danville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609082064 | NPI | - | NPPES |
1022785250001 | Medicaid | PA | |
P01402430 | Other | MS | RR MEDICARE |
09889291 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21686 (Mississippi) | Secondary |
207R00000X | Internal Medicine | MD435403 (Pennsylvania) | Primary |
Entity Name | Vitruvian Consulting Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508565862 PECOS PAC ID: 9335583483 Enrollment ID: O20240216003223 |
Mailing Address | Practice Location Address |
---|---|
John Showalter, MD 1238 Bloom Rd, Danville, PA 17821-6765 Ph: (570) 284-7405 | John Showalter, MD 1238 Bloom Rd, Danville, PA 17821-6765 Ph: (570) 284-7405 |
Dr. Stanley Joseph Russin, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-9585 Fax: 570-214-9519 | |
Dr. Steven Bonebrake, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-5555 Fax: 570-271-5269 | |
Tatiana Parra, Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6164 Fax: 570-271-6141 | |
Dr. Paul Flavian Simonelli, MD, PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Mc 01-11, Danville, PA 17822 Phone: 570-271-6655 Fax: 570-214-3967 | |
Dr. Taher M. Yahya, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6393 Fax: 570-271-5623 | |
Dr. Ion D. Bucaloiu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6164 Fax: 570-271-6141 | |
Dr. Mark A Shelly, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6408 Fax: 570-271-5845 |