| Richard T Meredick Dpm Pc | |
|
201 N Main Ave, Scranton, PA 18504-3303 | |
| (570) 342-4009 | |
| (570) 342-4326 |
| Full Name | Richard T Meredick Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 201 N Main Ave, Scranton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902884745 | NPI | - | NPPES |
| 072412 | Other | PA | FIRST PRIORITY |
| 480033867 | Other | PA | PALMETTO GBA |
| 10508 | Other | PA | GEISINGER |
| 4083187 | Other | PA | AETNA |
| 0005056950001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | SC001634L (Pennsylvania) | Primary |
| Provider Name | Richard T Meredick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558333591 PECOS PAC ID: 3870684038 Enrollment ID: I20111027000676 |
| Provider Name | Brian J Kobylus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922070960 PECOS PAC ID: 9931372406 Enrollment ID: I20111027000781 |
| Provider Name | David J Flannery |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205808250 PECOS PAC ID: 0547433500 Enrollment ID: I20111108000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard T Meredick Dpm Pc 201 N Main Ave, Scranton, PA 18504-3303 Ph: (570) 342-4009 | Richard T Meredick Dpm Pc 201 N Main Ave, Scranton, PA 18504-3303 Ph: (570) 342-4009 |
David J Flannery, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 201 N Main Ave, Scranton, PA 18504 Phone: 570-342-4009 Fax: 570-342-4326 | |
Dr. Larry Jay Grossinger, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 321 Spruce Street, 6th Floor, Scranton, PA 18503 Phone: 570-342-7814 | |
Nicole Marie Branning, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8146 Fax: 570-703-7205 | |
Gina Marie Palazzi, Podiatrist Medicare: Medicare Enrolled Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-493-0760 | |
William Mark Brown, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1789 N Keyser Ave, Scranton, PA 18508 Phone: 570-207-2030 Fax: 570-207-2036 | |
Joseph Hyungeun Kim, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-594-5915 | |
Mark J Micciche, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8146 Fax: 570-703-7205 |