Dr Joseph M Mucciolo Jr, MD | |
25 Lystra Rogers Dr, Lewisburg, PA 17837-8807 | |
(570) 523-3290 | |
(570) 524-5231 |
Full Name | Dr Joseph M Mucciolo Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 28 Years |
Location | 25 Lystra Rogers Dr, Lewisburg, 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 |
---|---|---|---|
1447228366 | NPI | - | NPPES |
0018668060003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD067194L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Evangelical Community Hospital | Lewisburg, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evangelical Medical Services Organization | 9133033087 | 244 |
Entity Name | Evangelical Medical Services Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295834984 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph M Mucciolo Jr, MD 1 Hospital Dr, Suite 306, Lewisburg, PA 17837-9350 Ph: (570) 522-4110 | Dr Joseph M Mucciolo Jr, MD 25 Lystra Rogers Dr, Lewisburg, PA 17837-8807 Ph: (570) 523-3290 |
Maya S Ruetschi, MD Surgery Medicare: Medicare Enrolled Practice Location: 3 Hospital Drive, Suite 122, Lewisburg, PA 17837 Phone: 570-524-1199 Fax: 570-522-6556 | |
Dr. Ernest Y. Normington Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 135 Walter Drive, Lewisburg, PA 17837 Phone: 570-524-7777 Fax: 570-523-9165 | |
Gary S Ayers, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 Lystra Rogers Dr, Lewisburg, PA 17837 Phone: 570-523-3290 Fax: 570-524-5231 | |
Dr. Daria Lin Keyser, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 Lystra Rogers Dr, Lewisburg, PA 17837 Phone: 570-523-3290 Fax: 570-524-5231 | |
Dr. David Warren Gray, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 721 Market St, Lewisburg, PA 17837 Phone: 570-524-2062 |