Shashank Kotakonda, MB;BS | |
1000 E Mountain Blvd, Wilkes Barre, PA 18711-3539 | |
(570) 808-7399 | |
Not Available |
Full Name | Shashank Kotakonda |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 14 Years |
Location | 1000 E Mountain Blvd, Wilkes Barre, 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 |
---|---|---|---|
1467892927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD458422 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | MD458422 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger Wyoming Valley Medical Center | Wilkes barre, 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 |
Entity Name | Geisinger-hm Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
Mailing Address | Practice Location Address |
---|---|
Shashank Kotakonda, MB;BS 100 North Academy Avenue, Danville, PA 17822-4903 Ph: (570) 271-6144 | Shashank Kotakonda, MB;BS 1000 E Mountain Blvd, Wilkes Barre, PA 18711-3539 Ph: (570) 808-7399 |
Passang Dolma, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7399 Fax: 570-808-5647 | |
Mousa Thalji, MBB CH Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7399 | |
Dr. Oleg Dvulit, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7399 Fax: 570-808-5942 | |
Dr. Virginie Auguste, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 575 North River Street, Wilkes Barre, PA 18764 Phone: 570-552-4450 Fax: 570-552-4455 | |
Sara Aronica, PA-C Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7300 | |
Dr. Rudy A. Carbaugh, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7333 Fax: 570-808-7325 | |
Colby Rowe Wesner, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7399 Fax: 570-808-5942 |