Lisa M Fedullo, MD | |
425 Brighton St, #303, Bethlehem, PA 18015-1273 | |
(610) 868-1100 | |
(610) 868-1111 |
Full Name | Lisa M Fedullo |
---|---|
Gender | Female |
Speciality | Interventional Radiology |
Experience | 43 Years |
Location | 425 Brighton St, Bethlehem, 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 |
---|---|---|---|
1033153440 | NPI | - | NPPES |
01208158 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD027576E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
St Lukes Quakertown Hospital | Quakertown, PA | Hospital |
St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Progressive Physician Assoc Inc | 1355243809 | 120 |
Progressive Physician Assoc Inc | 1355243809 | 120 |
Entity Name | Progressive Physician Assoc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881646859 PECOS PAC ID: 1355243809 Enrollment ID: O20040123000977 |
Mailing Address | Practice Location Address |
---|---|
Lisa M Fedullo, MD 425 Brighton St, #303, Bethlehem, PA 18015-1273 Ph: (610) 868-1100 | Lisa M Fedullo, MD 425 Brighton St, #303, Bethlehem, PA 18015-1273 Ph: (610) 868-1100 |
Dr. Stuart N. Pollack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 Fax: 706-653-1230 | |
Grace Fan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Radiation Oncology Dept, Bethlehem, PA 18015 Phone: 484-526-4841 Fax: 484-526-4671 | |
Dr. Ivan Michael Fras, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-868-1100 Fax: 610-868-1111 | |
Dr. William W Woodruff, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 95 Highland Ave, Suite 130, Bethlehem, PA 18017 Phone: 610-868-1100 Fax: 610-868-1111 | |
William Harris Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum Street, Department Of Radiation Oncology, Bethlehem, PA 18015 Phone: 845-641-9461 | |
Bassam Al-mamoori, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 Fax: 706-653-1230 |