Sarah Nicole Telliard, MD | |
1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | |
(570) 808-6113 | |
(570) 808-6349 |
Full Name | Sarah Nicole Telliard |
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Gender | Female |
Speciality | Dermatology |
Location | 1155 E Mountain Blvd, Wilkes Barre, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1710481049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207N00000X | Dermatology | MD479318 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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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 |
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Sarah Nicole Telliard, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Sarah Nicole Telliard, MD 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 Ph: (570) 808-6113 |
Dr. Paul R. Long, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-820-6113 Fax: 570-808-6349 | |
Mehul Bhatt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-6113 Fax: 570-808-6349 | |
Dr. Nil Celebi Cherukuri, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-6113 Fax: 570-808-6349 |