Susan Rachel Medalie, DO | |
200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 | |
(570) 621-9270 | |
(570) 621-9271 |
Full Name | Susan Rachel Medalie |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 9 Years |
Location | 200 Schuylkill Medical Plz, Pottsville, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710365473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS018728 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Schuylkill Health System Medical Group, Inc. | 0840285532 | 93 |
Entity Name | Family Care Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
Entity Name | Wellspan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Entity Name | Schuylkill Health System Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
Mailing Address | Practice Location Address |
---|---|
Susan Rachel Medalie, DO 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (570) 790-2391 | Susan Rachel Medalie, DO 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 Ph: (570) 621-9270 |
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 | |
Mr. Nicholas Vincent Iaccarino, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Terry Reiley Way, Pottsville, PA 17901 Phone: 570-624-4444 Fax: 570-624-4445 | |
Dr. Rehab Tabchi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Terry Reiley Way, Pottsville, PA 17901 Phone: 570-624-4444 |