Mr Bernard Joseph Povanda, PT | |
501 S Main St, Old Forge, PA 18518-1541 | |
(570) 457-4099 | |
(570) 457-7225 |
Full Name | Mr Bernard Joseph Povanda |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 38 Years |
Location | 501 S Main St, Old Forge, 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 |
---|---|---|---|
1093739559 | NPI | - | NPPES |
650012236 | Other | RAILROAD MEDICARE | |
072427 | Other | FIRST PRIORITY HEALTH | |
472307 | Other | AMERI HEALTH | |
235569 | Other | HEALTH AMERICA | |
472307Q69 | Other | STERLING OPTIONS I | |
472307 | Other | HIGHMARK BLUE SHIELD | |
9357839 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT005968L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physical Therapy Associates Of North East Pennsylvania Inc | 3971583105 | 6 |
Provider Name | Physical Therapy Associates Of North East Pennsylvania Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1326054750 PECOS PAC ID: 3971583105 Enrollment ID: O20040720001373 |
Mailing Address | Practice Location Address |
---|---|
Mr Bernard Joseph Povanda, PT 21 Kipling Dr, Moosic, PA 18507-1933 Ph: (570) 344-9585 | Mr Bernard Joseph Povanda, PT 501 S Main St, Old Forge, PA 18518-1541 Ph: (570) 457-4099 |
Mr. Anthony J Grasso Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Main St, Old Forge, PA 18518 Phone: 570-457-4099 | |
Mrs. Lynn Ann Winter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Main St, Old Forge, PA 18518 Phone: 570-457-4099 Fax: 570-457-7205 | |
James M Minella, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Oakwood Dr, Old Forge, PA 18518 Phone: 570-498-3546 | |
Lisa Ann Pastore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 168 Bianca Way, Old Forge, PA 18518 Phone: 570-468-2509 | |
Jeffrey Frail, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 313 S Main St, Old Forge, PA 18518 Phone: 570-451-1122 Fax: 570-451-0541 | |
Ms. Kristina Grande, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Cheyenne Dr, Old Forge, PA 18518 Phone: 570-357-2887 |