Robert Yamulla, MD | |
128 West 14th St, Hazleton, PA 18201-3266 | |
(570) 455-7677 | |
(570) 455-7627 |
Full Name | Robert Yamulla |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 128 West 14th St, Hazleton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376527655 | NPI | - | NPPES |
0010850580001 | Medicaid | PA | |
072376 | Other | PA | FDH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD031594E (Pennsylvania) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | MD031594E (Pennsylvania) | Primary |
Entity Name | Hazleton Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
Mailing Address | Practice Location Address |
---|---|
Robert Yamulla, MD Po Box 1347, Kingston, PA 18704-0347 Ph: (570) 288-8881 | Robert Yamulla, MD 128 West 14th St, Hazleton, PA 18201-3266 Ph: (570) 455-7677 |
Fawaz Nassar, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1090 N Church St, Hazleton, PA 18202 Phone: 570-459-1485 Fax: 570-459-6354 | |
Francisco A Gazek, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1090 N Church St, Hazleton, PA 18202 Phone: 570-459-1485 Fax: 570-459-6354 | |
Dr. Myung Sun Yoon, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 238 W Chestnut St, Hazleton, PA 18201 Phone: 570-454-1401 Fax: 570-454-6023 | |
Robert Victor Decker, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 772 E Broad St, Hazleton, PA 18201 Phone: 570-501-1242 Fax: 570-501-1252 | |
Dr. Jodi Washinsky Lenko, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1000 Alliance Dr, Hazleton, PA 18202 Phone: 570-459-2226 Fax: 570-459-2511 | |
James V Martino, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 149 N Vine St, Hazleton, PA 18201 Phone: 570-459-0414 Fax: 570-978-3465 | |
Mr. Pedro Guzman, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 141 N Cedar St, Hazleton, PA 18201 Phone: 570-497-4419 Fax: 570-497-4420 |