Dr David J Portonova, DPM | |
6850 Lows Rd Ste 316, Bloomsburg, PA 17815-8708 | |
(570) 387-2202 | |
(570) 387-2203 |
Full Name | Dr David J Portonova |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 9 Years |
Location | 6850 Lows Rd Ste 316, Bloomsburg, 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 |
---|---|---|---|
1457606865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006404 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger-bloomsburg Hospital | Bloomsburg, PA | Hospital |
Geisinger Medical Center | Danville, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Portonova Foot And Ankle Specialists Llc | 1456669746 | 2 |
Provider Name | Portonova Foot And Ankle Specialists Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750762043 PECOS PAC ID: 1456669746 Enrollment ID: O20151007000172 |
Mailing Address | Practice Location Address |
---|---|
Dr David J Portonova, DPM Po Box 1935, Kingston, PA 18704-0935 Ph: (570) 288-8881 | Dr David J Portonova, DPM 6850 Lows Rd Ste 316, Bloomsburg, PA 17815-8708 Ph: (570) 387-2202 |
Karen Campbell, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 410 Glenn Ave, Suite 201, Bloomsburg, PA 17815 Phone: 570-387-2202 | |
Portonova Foot And Ankle Specialists Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 6850 Lows Rd Ste 316, Bloomsburg, PA 17815 Phone: 570-387-2202 Fax: 570-387-2203 | |
Karen Campbell, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 410 Glenn Ave, Suite 201, Bloomsburg, PA 17815 Phone: 570-387-2022 Fax: 570-387-2203 |