Jackson Towers, | |
1155 East Mountain Blvd, Wilkes Barre, PA 18702-7906 | |
(570) 808-3362 | |
(570) 808-5114 |
Full Name | Jackson Towers |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 1155 East Mountain Blvd, Wilkes Barre, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083292106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | SC007212 (Pennsylvania) | Primary |
Provider Name | Geisinger Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Jackson Towers, 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-3362 | Jackson Towers, 1155 East Mountain Blvd, Wilkes Barre, PA 18702-7906 Ph: (570) 808-3362 |
Dr. Mehgan M Susek, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-3362 Fax: 570-808-5114 | |
Dr. David Potash, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 150 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-824-7361 Fax: 570-824-9852 | |
Susan L. Salak, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 34 S Main St, Suite 9, Wilkes Barre, PA 18701 Phone: 570-823-0187 Fax: 570-823-0188 | |
Dr. Susan L. Salak, D.P.M., P.C. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 34 S Main St, Suite 9, Wilkes Barre, PA 18701 Phone: 570-823-0187 Fax: 570-823-0188 | |
Lucia Nguyen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1155 East Moutain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-3362 Fax: 570-808-5114 | |
Dr. Barry Gerald Bernstein, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-3362 Fax: 570-808-5114 |