Michael Rusli, MD | |
4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042-1281 | |
(717) 270-7740 | |
(717) 270-3877 |
Full Name | Michael Rusli |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4th & Walnut Streets, Lebanon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992766927 | NPI | - | NPPES |
01677202 | Other | PA | CAPITAL BLUE CROSS |
165657 | Other | PA | HIGHMARK BLUE SHIELD |
0013001910001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD024263E (Pennsylvania) | Primary |
Entity Name | Emergency Care Services Of Pennsylvania Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
Mailing Address | Practice Location Address |
---|---|
Michael Rusli, MD Po Box 1281, Co Good Samaritan Hospital, Lebanon, PA 17042-1281 Ph: (717) 270-7740 | Michael Rusli, MD 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042-1281 Ph: (717) 270-7740 |
Marcus Alexander Saunders, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Jonathan S Rill, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Nicolau N Dacosta, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Steven J Berk, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Bruce K Eagleson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042 Phone: 717-270-7740 Fax: 717-270-2227 | |
Robert J Balogh Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042 Phone: 717-270-7740 Fax: 717-270-2227 | |
Steven Russell Ginder, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 |