| Pocono Podiatry And Wound Care, Llc. | |
|
296 E Brown St, Suite B, East Stroudsburg, PA 18301-3011 | |
| (215) 681-8057 | |
| Not Available |
| Full Name | Pocono Podiatry And Wound Care, Llc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 296 E Brown St, East Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326277492 | NPI | - | NPPES |
| 101945964 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | SC005819 (Pennsylvania) | Primary |
| Provider Name | Tanjila Matin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518911049 PECOS PAC ID: 4587667852 Enrollment ID: I20070920000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Pocono Podiatry And Wound Care, Llc. 296 E Brown St, Suite B, East Stroudsburg, PA 18301-3011 Ph: (570) 431-0788 | Pocono Podiatry And Wound Care, Llc. 296 E Brown St, Suite B, East Stroudsburg, PA 18301-3011 Ph: (215) 681-8057 |
Dr. Scott K Kissell, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 175 E Brown St, Suite 110, East Stroudsburg, PA 18301 Phone: 570-424-1031 | |
Jenny Rose Specialized Therapy Center Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 296 East Brown Street, Suite B, East Stroudsburg, PA 18301 Phone: 570-421-3415 Fax: 570-421-9873 | |
Dr. Tanjila Matin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 109 Seven Bridges Rd, East Stroudsburg, PA 18301 Phone: 570-431-0788 Fax: 570-431-0708 | |
Mr. Patrick R. Mcdonald, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 600 Plaza Ct. C, East Stroudsburg, PA 18301 Phone: 570-421-7020 Fax: 570-421-7091 | |
Dr. Thomas Joseph Berryman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 400 Plaza Court, Suite B, East Stroudsburg, PA 18301 Phone: 570-421-5530 Fax: 570-424-6528 | |
Dr. Carol M Latzanich, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 175 E Brown St, Suite 110, East Stroudsburg, PA 18301 Phone: 570-424-1031 Fax: 570-424-5086 |