Michaela Bavaria, DO | |
2650 Woodglen Rd, Pottsville, PA 17901-1324 | |
(272) 639-5755 | |
Not Available |
Full Name | Michaela Bavaria |
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Gender | Female |
Speciality | Family Medicine |
Location | 2650 Woodglen Rd, Pottsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023638442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS022975 (Pennsylvania) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Gslpg, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
Mailing Address | Practice Location Address |
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Michaela Bavaria, DO 2650 Woodglen Rd, Pottsville, PA 17901-1324 Ph: (272) 639-5755 | Michaela Bavaria, DO 2650 Woodglen Rd, Pottsville, PA 17901-1324 Ph: (272) 639-5755 |
Dr. Parvindar Singh Bola, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Schuylkill Medical Plz, Pottsville, PA 17901 Phone: 570-621-9270 | |
Dr. Carl J Forster, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13 S Centre St, Pottsville, PA 17901 Phone: 570-628-0800 Fax: 570-622-7811 | |
Dr. Georgetta D. Lupold, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 529 Terry Reiley Way, Pottsville, PA 17901 Phone: 570-624-4444 Fax: 570-624-4445 | |
William Anthony Tellez Iv, Family Medicine Medicare: Medicare Enrolled Practice Location: 2650 Woodglen Rd, Pottsville, PA 17901 Phone: 272-639-5755 | |
Erwin Jinho Choi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Terry Reiley Way, Pottsville, PA 17901 Phone: 570-624-4444 Fax: 570-624-4447 | |
Mr. Nicholas Vincent Iaccarino, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Terry Reiley Way, Pottsville, PA 17901 Phone: 570-624-4444 Fax: 570-624-4445 |