Mr Nicholas Vincent Iaccarino, | |
529 Terry Reiley Way, Pottsville, PA 17901-1774 | |
(570) 624-4444 | |
(570) 624-4445 |
Full Name | Mr Nicholas Vincent Iaccarino |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 529 Terry Reiley Way, 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 |
---|---|---|---|
1285160291 | NPI | - | NPPES |
OT017881 | Other | PA | PENNSYLVANIA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS021016 (Pennsylvania) | Primary |
207Q00000X | Family Medicine | OT017881 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger Medical Center | Danville, PA | Hospital |
Geisinger St. Luke's Hospital | Orwigsburg, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Vincent Iaccarino, 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Mr Nicholas Vincent Iaccarino, 529 Terry Reiley Way, Pottsville, PA 17901-1774 Ph: (570) 624-4444 |
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 | |
Dr. Rehab Tabchi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Terry Reiley Way, Pottsville, PA 17901 Phone: 570-624-4444 |