Mr Mark Daniel Brayford, DO | |
48 Tunnel Rd, Suite 203, Pottsville, PA 17901-3875 | |
(570) 624-4777 | |
(570) 624-4778 |
Full Name | Mr Mark Daniel Brayford |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 48 Tunnel Rd, Pottsville, 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 |
---|---|---|---|
1417155151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | OS013357 (Pennsylvania) | Primary |
207Q00000X | Family Medicine | OS013357 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Medical Group, P.c. | 1355247180 | 97 |
Entity Name | Integrated Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336102268 PECOS PAC ID: 1355247180 Enrollment ID: O20031211000232 |
Entity Name | Chs Professional Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710987417 PECOS PAC ID: 4880591288 Enrollment ID: O20040521000334 |
Entity Name | Lvhn Coordinated Professional Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366082554 PECOS PAC ID: 2163851858 Enrollment ID: O20200331003752 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Daniel Brayford, DO 48 Tunnel Rd, Suite 203, Pottsville, PA 17901-3875 Ph: (570) 624-4777 | Mr Mark Daniel Brayford, DO 48 Tunnel Rd, Suite 203, Pottsville, PA 17901-3875 Ph: (570) 624-4777 |
Dr. Parvindar Singh Bola, MD Family Medicine Medicare: Not Enrolled in Medicare 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 | |
Dr. Rehab Tabchi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Terry Reiley Way, Pottsville, PA 17901 Phone: 570-624-4444 |