Richard Angelico, MD | |
2005 Fairview Ave, Suite A, Easton, PA 18042-3915 | |
(610) 923-5200 | |
(610) 923-5272 |
Full Name | Richard Angelico |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 2005 Fairview Ave, Easton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447243753 | NPI | - | NPPES |
0011098480003 | Medicaid | PA | |
50045369 | Other | PA | CAPITAL BLUE CROSS |
1684762 | Other | PA | HIGHMARK BS OF PA |
1684762 | Other | PA | HIGHMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD036604E (Pennsylvania) | Primary |
Entity Name | Nebraska Specialty Network, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225322910 PECOS PAC ID: 3173793676 Enrollment ID: O20110818000823 |
Entity Name | Chi Health Clinic Specialty Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
Mailing Address | Practice Location Address |
---|---|
Richard Angelico, MD 2005 Fairview Ave, Suite A, Easton, PA 18042-3915 Ph: (610) 923-5200 | Richard Angelico, MD 2005 Fairview Ave, Suite A, Easton, PA 18042-3915 Ph: (610) 923-5200 |
Thomas W Prendergast, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2005 Fairview Ave, Suite A, Easton, PA 18042 Phone: 610-923-5200 Fax: 610-923-5272 |