Bangor Podiatry Llc | |
129 N 11th St, Bangor, PA 18013-1603 | |
(610) 588-6621 | |
(610) 588-6307 |
Full Name | Bangor Podiatry Llc |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 129 N 11th St, Bangor, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366491938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | SC004468L (Pennsylvania) | Primary |
Provider Name | Jason Paul Eberly |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1588657985 PECOS PAC ID: 2668459033 Enrollment ID: I20040702000642 |
Provider Name | Cheralyn Suzann Perkins |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053400804 PECOS PAC ID: 3971511411 Enrollment ID: I20060327000003 |
Provider Name | David A Scalzo |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1477508000 PECOS PAC ID: 7416968292 Enrollment ID: I20060508000683 |
Provider Name | Edward Douglas Hutson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1851532402 PECOS PAC ID: 8921153461 Enrollment ID: I20090904000065 |
Provider Name | Nicole M Branning |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1225286388 PECOS PAC ID: 4486785433 Enrollment ID: I20100708000423 |
Provider Name | Kathleen A Hope |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144590563 PECOS PAC ID: 9537308887 Enrollment ID: I20130617000367 |
Provider Name | Selina C Kaminski |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811481492 PECOS PAC ID: 4284034695 Enrollment ID: I20210607000980 |
Mailing Address | Practice Location Address |
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Bangor Podiatry Llc 325 Blue Valley Dr, Bangor, PA 18013-1526 Ph: (610) 588-6621 | Bangor Podiatry Llc 129 N 11th St, Bangor, PA 18013-1603 Ph: (610) 588-6621 |
Mrs. Cheralyn Suzanne Perkins, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 325 Blue Valley Dr, Bangor, PA 18013 Phone: 610-588-6621 Fax: 610-588-6307 | |
Kathleen Anne Hope, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 325 Blue Valley Dr, Bangor, PA 18013 Phone: 610-588-6621 Fax: 610-588-6307 | |
Jason Eberly, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 325 Blue Valley Dr, Bangor, PA 18013 Phone: 610-588-6621 Fax: 610-588-6307 |