Mr Edward D Manzella, MD | |
1353 State Route 903, Jim Thorpe, PA 18229-2734 | |
(570) 325-8393 | |
(570) 325-8029 |
Full Name | Mr Edward D Manzella |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 1353 State Route 903, Jim Thorpe, 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 |
---|---|---|---|
1962487264 | NPI | - | NPPES |
2420346000 | Other | PERSONAL CHOICE BLUE SHIE | |
03277901 | Other | CAPITAL BLUE CROSS | |
1753980 | Other | FEDERAL BLUE SHIELD | |
810651818 | Other | COVENTRY HEALTH | |
110101 | Other | AMERIHEALTH ADMIN | |
810651818 | Other | TRICARE REGION I | |
03277800 | Other | CAPITAL BLUE CROSS GROUP | |
P00387554 | Other | PA | PALMETTO GBA GROUP |
001442722 | Medicaid | PA | |
20031254 | Other | AMERIHEALTH MERCY | |
810651818 | Other | STERLING OPTION I GROUP | |
1753980 | Other | AMERIHEALTH ADMIN GROUP | |
010654900 | Other | BLACK LUNG | |
110101 | Other | PA BLUE SHIELD | |
5389099 | Other | AETNA | |
6002088 | Other | GHI | |
0274540000 | Other | PERSONAL CHOICE BLUE SHIE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD047252L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayada Home Health Care, Inc. | Bethlehem, PA | Home health agency |
St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
Lehigh Valley Hospital | Allentown, PA | Hospital |
St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lehigh Valley Physician Group | 3072425123 | 1892 |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Manzella Family Healthcare, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053398826 PECOS PAC ID: 7517911605 Enrollment ID: O20050311000044 |
Mailing Address | Practice Location Address |
---|---|
Mr Edward D Manzella, MD 1605 N Cedar Crest Blvd Ste 110b, Allentown, PA 18104-2351 Ph: (610) 973-1410 | Mr Edward D Manzella, MD 1353 State Route 903, Jim Thorpe, PA 18229-2734 Ph: (570) 325-8393 |
Mr. Victor A Manzella, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1353 State Route 903, Jim Thorpe, PA 18229 Phone: 570-325-8393 Fax: 570-325-8029 | |
Mr. John R Manzella Jr., DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1353 State Route 903, Jim Thorpe, PA 18229 Phone: 570-325-8393 Fax: 570-325-8029 |