Kelly Shannon Caruso, DO | |
1100 Montour Rd, Loysville, PA 17047-9200 | |
(717) 789-3553 | |
(717) 789-3198 |
Full Name | Kelly Shannon Caruso |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 28 Years |
Location | 1100 Montour Rd, Loysville, 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 |
---|---|---|---|
1629017322 | NPI | - | NPPES |
0018455660004 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS009531L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carlisle Regional Medical Center | Carlisle, PA | Hospital |
Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinnacle Health Medical Services | 7618960493 | 945 |
Entity Name | Pinnacle Health Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
Mailing Address | Practice Location Address |
---|---|
Kelly Shannon Caruso, DO 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Kelly Shannon Caruso, DO 1100 Montour Rd, Loysville, PA 17047-9200 Ph: (717) 789-3553 |
Donald David Dangle, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Montour Rd, Loysville, PA 17047 Phone: 717-789-3553 Fax: 717-789-3198 | |
Benjamin Leslie Stewart Ii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Montour Rd, Loysville, PA 17047 Phone: 717-789-3553 Fax: 717-789-3198 | |
James J Marakowski, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Montour Rd, Loysville, PA 17047 Phone: 717-789-3553 Fax: 717-789-3198 | |
John Caruso, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Montour Rd, Loysville, PA 17047 Phone: 717-789-3553 Fax: 717-789-3198 |