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1834 Main St, Blakely, PA 18447-1370 | |
(570) 489-4432 | |
(570) 489-8083 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 1834 Main St, Blakely, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245428549 | NPI | - | NPPES |
0009388940002 | Medicaid | PA | |
480021736 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
Provider Name | John A Scanland |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649380890 PECOS PAC ID: 8325131816 Enrollment ID: I20070829000279 |
Provider Name | Craig Thomas Scanland |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629530415 PECOS PAC ID: 4082097985 Enrollment ID: I20220810000197 |
Mailing Address | Practice Location Address |
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1834 Main St, Blakely, PA 18447-1370 Ph: (570) 489-4432 | 1834 Main St, Blakely, PA 18447-1370 Ph: (570) 489-4432 |
Dr. John A Scanland, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1834 Main St, Blakely, PA 18447 Phone: 570-489-4432 Fax: 570-489-8083 |