| Advanced Inpatient Medicine Transitional Care Pc | |
|
575 N River St Wilkes Barre PA 18764 | |
| (570) 552-4450 | |
| (570) 552-4455 |
| Full Name | Advanced Inpatient Medicine Transitional Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 575 N River St, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Tim Delbrugge (CFO) |
| Authorized Official Contact | 4439490814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Inpatient Medicine Transitional Care Pc Po Box 69233 Baltimore MD 21264-9233 Ph: (443) 949-0814 | Advanced Inpatient Medicine Transitional Care Pc 575 N River St Wilkes Barre PA 18764 Ph: (570) 552-4450 |
| NPI Number | 1609247030 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 02/24/2022 |
| Medicare PECOS PAC ID | 2365742079 |
|---|---|
| Medicare Enrollment ID | O20151202002396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609247030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS007508L (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | OS007508L (Pennsylvania) | Primary |
| Provider Name | Stanley Roberts Skonieczki Iii |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376518001 PECOS PAC ID: 8527957265 Enrollment ID: I20040311001171 |
| Provider Name | David Allen Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447202395 PECOS PAC ID: 5799674701 Enrollment ID: I20040315000950 |
| Provider Name | Patrick J Murnin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275517930 PECOS PAC ID: 6204728132 Enrollment ID: I20040326000145 |
| Provider Name | Thomas H Neill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952524191 PECOS PAC ID: 2860488228 Enrollment ID: I20040421001395 |
| Provider Name | Mark Radziewicz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578528410 PECOS PAC ID: 2062481708 Enrollment ID: I20040929000344 |
| Provider Name | Maria A Mera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427118454 PECOS PAC ID: 1759320302 Enrollment ID: I20050503000415 |
| Provider Name | Isis S Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699733816 PECOS PAC ID: 9739125519 Enrollment ID: I20050701000223 |
| Provider Name | Louis Oboyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700828894 PECOS PAC ID: 2668408121 Enrollment ID: I20050715000606 |
| Provider Name | Syed F Ali Qadri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518031228 PECOS PAC ID: 7012019490 Enrollment ID: I20070308000012 |
| Provider Name | Basant K Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558427377 PECOS PAC ID: 7214029966 Enrollment ID: I20070825000071 |
| Provider Name | William Speicher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124244108 PECOS PAC ID: 0547333239 Enrollment ID: I20080714000251 |
| Provider Name | Jamie A Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376735571 PECOS PAC ID: 4183797285 Enrollment ID: I20080723000335 |
| Provider Name | Robert C Behm Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801053335 PECOS PAC ID: 9830266444 Enrollment ID: I20080924000241 |
| Provider Name | Robert Gordon Madeira |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578524211 PECOS PAC ID: 1850448259 Enrollment ID: I20090421000545 |
| Provider Name | John Kish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902832975 PECOS PAC ID: 4082786397 Enrollment ID: I20091223000415 |
| Provider Name | Paul M Rutkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003078254 PECOS PAC ID: 0840321741 Enrollment ID: I20120503000303 |
| Provider Name | Kara L Mohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437400850 PECOS PAC ID: 2062664774 Enrollment ID: I20121204000064 |
| Provider Name | Lisa B Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932536422 PECOS PAC ID: 0941436471 Enrollment ID: I20131112000046 |
| Provider Name | Allison M Zamerowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225412471 PECOS PAC ID: 5890002653 Enrollment ID: I20150911001285 |
| Provider Name | Courtenay J Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538592696 PECOS PAC ID: 3375848468 Enrollment ID: I20160229000186 |
| Provider Name | David Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225499171 PECOS PAC ID: 8729377023 Enrollment ID: I20160510000158 |
| Provider Name | Jennifer Lynn Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326417759 PECOS PAC ID: 8527356237 Enrollment ID: I20161013000105 |
| Provider Name | Nicole Stombaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487021283 PECOS PAC ID: 1254619232 Enrollment ID: I20161026000255 |
| Provider Name | Kevin K Musto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669884607 PECOS PAC ID: 4587965470 Enrollment ID: I20171106002117 |
| Provider Name | Balamurugan Anangur Ganesan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760692263 PECOS PAC ID: 1557414703 Enrollment ID: I20171116001016 |
| Provider Name | Jeanine Marianne Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841661832 PECOS PAC ID: 0648559625 Enrollment ID: I20180531000310 |
| Provider Name | Stacy-ann Shemaine Comer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508149162 PECOS PAC ID: 8022266378 Enrollment ID: I20190123000760 |
| Provider Name | Tracey Marie Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538726179 PECOS PAC ID: 0547593303 Enrollment ID: I20190610002210 |
| Provider Name | Jennifer Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942209069 PECOS PAC ID: 5890741532 Enrollment ID: I20190621001990 |
| Provider Name | Patricia Dehaven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710420179 PECOS PAC ID: 0244516037 Enrollment ID: I20190920002880 |
| Provider Name | Vito James Zaccheo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275090029 PECOS PAC ID: 5597191528 Enrollment ID: I20200211000040 |
| Provider Name | Devon Anna Munley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154928398 PECOS PAC ID: 2860803418 Enrollment ID: I20201203000056 |
| Provider Name | Loretta Lee Mcneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992329825 PECOS PAC ID: 0547669897 Enrollment ID: I20210519000816 |
| Provider Name | Melissa Susan Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376126953 PECOS PAC ID: 4183026149 Enrollment ID: I20210713002660 |
| Provider Name | Rebecca Gresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851065858 PECOS PAC ID: 9739587478 Enrollment ID: I20211011000034 |
| Provider Name | Katelyn Nicole Hann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164177580 PECOS PAC ID: 2961851050 Enrollment ID: I20231214002410 |
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